RN Case Manager
Eureka, CA
Bestica
5x8 hrs, Days
Referral Bonus

Registered Nurse – Case Manager

📍 Eureka, California (95501)

🗓 Start Date: June 1, 2026

🔑 Requirements

• Epic EMR proficiency
• 2+ years acute hospital case management experience in care coordination and discharge planning
• Weekend rotation: Every other weekend required

🏥 Core Responsibilities

• Case Management / Utilization Review
• Admission Criteria evaluation
• Appeals and Denials management
• Benefits Eligibility review
• Care Coordination across specialties
• Discharge Planning and Needs Assessment (including DME orders)
• Prior Authorizations*
• Worker’s Compensation Case Management*
• Regulatory compliance

📚 Regulatory & Compliance Knowledge

• CMS (Centers for Medicare & Medicaid Services)
• DRG (Diagnosis Related Groups)*
• HIPAA guidelines
• The Joint Commission / Core Measures / National Safety Goals
• Workers Compensation*

🏨 Acute Hospital Experience by Specialty

• Emergency Department
• ICU
• Medical-Surgical
• Pediatrics
• Step-Down Unit / Progressive Care / Intermediate Care / Observation

🌲 Why Eureka, California?

Calling all nature lovers! Eureka offers the rare chance to enjoy the Pacific Ocean in the morning and hike among towering Redwoods in the afternoon. Within easy driving distance of seven state and national parks, you’ll experience:

• Rugged California coastline
• The world-famous Redwood Highway
• Unique Victorian architecture in town

This is a place where professional fulfillment meets natural wonder — a lifestyle opportunity as much as a career move.