Travel RN - Case Management/Utilization Review - Case Management

Travel RN - Case Management/Utilization Review - Case Management

American Traveler

Santa Rosa, California, United States

Position ID: P-765273

Position status: Open

Assignment type: travel

Shift: Days

Length (weeks): 13

Openings: 1

Start date: 2026-11-02T00:00:00.000Z

$3,183.00/week (estimated advertised weekly pay)

Description

American Traveler is hiring an RN Case Manager for a case management/utilization review position requiring CA RN licensure and 2+ years of experience

Details

• Acute hospital setting within a Case Management department
• Coordinates utilization management, resource management, discharge planning, and post-acute care referrals
• Provides discharge planning coordination for high-risk patients presenting to the Emergency Department
• Manages acute patient populations across the care continuum to prevent unnecessary admissions or readmissions
• Patient ratio of 1:20 or more
• Day shift schedule, 5x8s 0830-1700
• Minimum of 2 weekend shifts required per month
• If floated, will only work within Case Management

Requirements

• Active CA RN license
• BLS certification (AHA or ARC) required
• Minimum 2 years of case management/utilization review experience required
• Minimum 1 year of charge nurse experience required
• Previous travel experience required
• Teaching hospital, community hospital, LTAC, and Trauma Level I/II experience preferred
• Knowledge of InterQual Criteria and Milliman Guidelines
• Familiarity with utilization review processes including concurrent review, continued stay reviews, medical necessity, appeals and denials, and retrospective review
• Working knowledge of CMS, CPT coding, DRG, HEDIS, HIPAA, ICD-10 coding, NCQA, OSHA, and Joint Commission standards
• Nursys license verification uploaded within the last 2 weeks required
• 2 professional references obtained within the past year required

Additional Information

• Promotes patient wellness, improved care outcomes, efficient utilization of health services, and minimized payment denials among complex patient populations
• Local candidates accepted at local rate within a 50-mile radius
• Returning staff/travelers must have a 1-year separation before returning
• Maximum RTO of 7 days per contract
• Only one holiday request per contract is permitted
• Holiday coverage includes New Year's Day, Memorial Day, Independence Day, Labor Day, Thanksgiving Day, and Christmas Day
• Must be available to complete lab work within 3-5 days of contract signing
• 7-year work history verification required for all candidates

Hours per week: 40

Hours per shift: 8