Case Manager RN
Edmonds, WA
American Traveler
5x8 hrs, Days

Assignment Overview

• Shift: Days, 5x8hrs
• Hours: 40 hrs/wk
• Start Date: Oct 19, 2026
• Length: 13 weeks
• Openings: 1

Description

American Traveler is hiring an RN Case Manager for an acute care hospital setting, requiring 2+ years of acute care/med-surg experience and Epic proficiency.

Details

• Acute hospital setting in the Case Management/Utilization Review department
• Day shift schedule, 5x8 hours (8:00 AM - 4:30 PM), primarily Monday-Friday with some weekend coverage required
• Responsibilities include admission criteria review, care coordination, concurrent review, continued stay reviews, discharge planning, and utilization review
• Utilizes InterQual Criteria and Milliman Guidelines for medical necessity determinations
• Uses Epic EMR system

Requirements

• Active WA or compact RN license required in hand at time of consideration
• BLS certification required
• Minimum 2 years of experience required
• Acute care/med-surg experience required
• Epic EMR experience required
• 2 professional references covering 1 year of experience within the last 3 years required for consideration

Additional Information

• Case management duties include appeals and denials, medical necessity determination per evidence-based guidelines, and regulatory compliance (CMS, HIPAA, ICD-10, DRG, HEDIS, NCQA, OSHA, Joint Commission standards)
• Holiday coverage expected for 1 of 3 major holidays (Thanksgiving, Christmas, New Year's)
• Travelers may be required to float between sister facilities near the contracted location
• First-time travelers are welcome to apply
• Previous permanent employees of any Providence-affiliated facility must be separated from the health system for a minimum of 3 months to qualify
• Local candidates accepted
• Candidates residing within 50 miles of the facility may be subject to a different pay structure