Travel RN - Case Management/Utilization Review - Case Management

Travel RN - Case Management/Utilization Review - Case ManagementAmerican TravelerSan Francisco, California, United StatesPosition ID: P- Position status: OpenAssignment type: travelShift: DaysLength (weeks): 13Openings: 1Start date: $3,268.00/week (estimated advertised weekly pay)DescriptionAmerican Traveler is hiring an RN Case Manager with inpatient case management and discharge planning experience for a hybrid acute hospital role requiring an active CA RN license.DetailsSupports complex cases across the health system and patients in the community, primarily working virtuallySchedule includes 2 days onsite and 3 days remote per weekFloats between Emeryville and San Francisco offices as neededDay shift schedule, 5x8-hour shifts from 8:00 AM to 4:30 PMPatient ratio of approximately 1:25Uses Epic for chartingRequirementsActive CA RN license requiredBLS certification requiredMinimum 2 years of inpatient case management experience requiredDischarge planning experience requiredTeaching hospital experience requiredCommunity hospital experience requiredPrior travel healthcare experience requiredTrauma Level I and II experience preferredPrevious charge nurse experience preferredExperience with care coordination, concurrent review, continued stay reviews, utilization review, and InterQual criteriaExperience with discharge planning, disease management, DME needs assessment, and prior authorizationsKnowledge of CMS, DRG, HIPAA, and Joint Commission regulatory standards2 supervisor references obtained within the past year requiredAdditional InformationResponsibilities include admission criteria review, benefits eligibility, plan of care development, and retrospective reviewBehavioral health, ambulatory, and telephonic case management experience preferredExperience in acute hospital specialties such as behavioral health, emergency department, SDU/PCU/IMC/Obs preferredMaximum RTO of 7 days per contractOnly one holiday may be requested off per contract, with holidays observed from 7:00 PM the night before through 7:00 AM the day afterMust complete lab work within 3-5 days of contract signing7-year work history verification required for all candidatesReturning employees must have a minimum 1-year separation to be eligible to return as a travelerLocal candidates accepted at the local rateMust live within a 50-mile radius of the facilityHours per week: 40Hours per shift: 8