Utilization Review Registered Nurse
Santa Rosa, CA
Prime Staffing
5x8 hrs, Days

Travel RN Case Manager | Santa Rosa, CA
 

Position Overview

We are seeking an experienced RN Case Manager for a travel assignment in a fast-paced acute care hospital setting. The ideal candidate will have strong experience in care coordination, discharge planning, utilization management principles, and interdisciplinary collaboration. This position offers an excellent opportunity to work with a diverse adult and geriatric patient population while supporting positive patient outcomes through effective case management services.

Assignment Details

• Position: RN Case Manager
• Start Date: 07/13/2026
• Shift: Days, 5x8-Hour Shifts
• Shift Hours: 8:00 AM – 4:30 PM
• Contract Type: Travel Assignment
• Weekend Requirement: 2 weekends every 6 weeks
• On-Call Requirement: None
• Floating: Yes, based on department needs

Required Qualifications
 

Experience

• Minimum 2 years of Acute Care Hospital Case Management experience
• Recent experience in:
  • Care Coordination
  • Discharge Planning
  • Fast-paced Acute Care environments
• Current work history within the last 2 years (Hard Stop)

Required Skills

• Epic EMR experience (Required)
• Experience managing a patient caseload of approximately 20 patients per day
• Strong communication and interdisciplinary collaboration skills

Certifications

• BLS Certification

Travel Experience

• Preferred, but first-time travelers may be considered based on clinical review and experience.

Core Responsibilities

• Care Coordination
• Discharge Planning
• Needs Assessment
• Durable Medical Equipment (DME) Coordination
• Prior Authorizations
• Benefits Eligibility Verification
• Plan of Care Development
• Admission Criteria Assessment
• Patient and Family Education
• Interdisciplinary Team Collaboration

Additional Responsibilities

• Facilitate and participate in family meetings
• Assist with treatment plan development
• Coordinate Skilled Nursing Facility (SNF) placements
• Arrange ambulance transportation
• Coordinate post-acute services and community resources
• Work independently to ensure timely and safe patient discharges

Preferred Knowledge & Experience

Case Management & Utilization Review

• Medical Necessity Determination
• InterQual Criteria
• Disease Management
• Disability Case Management
• Workers' Compensation Case Management
• Data Abstraction

Regulatory Knowledge

• CMS Regulations
• HIPAA Compliance
• OSHA Standards
• Department of Health Regulations
• DRG Methodology
• Joint Commission Standards
• Core Measures & National Patient Safety Goals
• ICD-10 Coding
• CPT Coding & Billing
• NCQA Standards

Preferred Acute Care Specialty Experience

Experience in any of the following areas is highly desirable:

• Medical-Surgical
• Intensive Care Unit (ICU)
• Emergency Department
• Step-Down / PCU / IMC / Observation
• Pediatrics
• NICU
• Behavioral Health
• Trauma Level I
• Trauma Level II

Patient Population

• Adult Patients
• Geriatric Patients

Patient Caseload

• Approximately 1:20 Case Manager-to-Patient Ratio

Interdisciplinary Support Services

The Case Management team works closely with:

• Physical Therapy
• Respiratory Therapy
• Social Services
• Radiology
• Phlebotomy
• IV Teams
• Transportation Services
• Interpretation Services
• Rapid Response Teams
• Unit Secretaries

Additional Preferred Experience

Candidates with experience working with the following are highly valued:

• HMOs and IPAs
• Skilled Nursing Facilities (SNFs)
• Durable Medical Equipment (DME) Vendors
• Community Resources
• Post-Acute Care Coordination
• Ambulance Transportation Arrangements

Documentation & Technology

Required

• Epic EMR