Travel Nurse RN - Case Management
Eureka, CA
LanceSoft
5x8 hrs, Days

Job Summary:

We are seeking an experienced RN Case Manager with a strong background in acute care hospital settings. This role focuses on care coordination, discharge planning, and utilization review in a fast-paced environment. The ideal candidate will ensure efficient patient transitions while maintaining compliance with regulatory standards.

Key Responsibilities:

• Perform care coordination and discharge planning for hospitalized patients
• Conduct needs assessments and develop individualized care plans
• Handle admission criteria, benefits eligibility, and prior authorizations
• Manage appeals and denials when applicable
• Coordinate with interdisciplinary teams to ensure optimal patient outcomes
• Arrange DME, post-acute care services, and follow-ups
• Maintain accurate documentation in Epic EMR
• Ensure compliance with CMS, HIPAA, Joint Commission, and DRG guidelines
• Work across multiple units as needed (floating required)

Requirements (Must Have):

• Minimum 2 years of acute hospital Case Management experience (MANDATORY)
• Strong experience in Care Coordination & Discharge Planning
• Acute care experience is required (non-negotiable)
• Experience with Epic EMR
• Ability to work in a fast-paced hospital environment
• Travel experience required (1st time travelers can be screened)

Preferred Qualifications:

• Experience in ICU, ED, Med-Surg, Pediatrics, or Step-down units
• Knowledge of prior authorizations, appeals/denials, and utilization review
• Familiarity with regulatory standards (CMS, DRG, Joint Commission)

Work Details:

• Weekend Requirement: Every Other Weekend (EOW)
• On-call: Not required
• Floating: Yes, based on unit needs
• Locals accepted: Yes
• Charting System: Epic
• Parking: Free (first day), assignment parking provided after orientation