Case Manager RN
Santa Rosa, CA
American Traveler
5x8 hrs, Days

Assignment Overview

• Shift: Days, 5x8hrs
• Hours: 40 hrs/wk
• Start Date: Oct 5, 2026
• Length: 13 weeks
• Openings: 1

Description

American Traveler is hiring an experienced RN Case Manager with a CA license and case management/utilization review background for a hospital assignment.

Details

• Case Management department within an acute hospital setting
• Coordinates utilization management, resource management, discharge planning, post-acute care referrals, and care facilitation
• Manages acute patient populations across the care continuum to prevent unnecessary admissions or readmissions
• Provides discharge planning coordination for high-risk patients presenting to the Emergency Department
• Day shift schedule, 5x8 hours, 8:00 AM to 4:30 PM
• Minimum of 2 weekend shifts required per month
• If floated, assignment will remain within Case Management

Requirements

• Active CA RN license required
• BLS certification required (AHA or ARC)
• Minimum 2 years of RN experience required
• Minimum 1 year of charge nurse experience required
• Patient ratio experience of 1:20 or more
• Travel experience required
• Teaching hospital, community hospital, LTAC, and Trauma Level I/II experience preferred
• Experience with InterQual Criteria and Milliman Guidelines preferred
• Knowledge of utilization review processes including admission criteria, appeals and denials, concurrent review, continued stay reviews, medical necessity, and retrospective review
• Familiarity with regulatory standards such as CMS, HIPAA, ICD-10, DRG, HEDIS, NCQA, OSHA, and Joint Commission guidelines preferred
• Two supervisor references obtained within the past year required
• Copies of all certifications required for consideration

Additional Information

• Focuses on promoting patient wellness, improved care outcomes, efficient utilization of health services, and minimized payment denials for patients with complex health needs
• Must reside within a 50-mile radius to be eligible for the local rate
• Local candidates accepted at the local rate
• Returning staff must have a minimum 1-year separation before returning as a traveler
• Maximum RTO of 7 days per contract
• Only 1 holiday request approved per contract
• Holiday coverage includes New Year's Day, Memorial Day, Independence Day, Labor Day, Thanksgiving Day, and Christmas Day
• Must be available for lab work within 3-5 days of contract signing
• 7-year work history verification required for all candidates