Case Manager RN
Roseville, California
Sutter Roseville Medical Center

Case Manager

Job Overview

• Location: Roseville, California
• Employment type: Travel/Contract
• Shift: Day, 5x8 hours
• Hours per week: 40
• Schedule: Monday through Friday, no weekends, no call
• Contract length: 13 weeks

Required Qualifications

• Associate of Science in Nursing / Associate Degree in Nursing
• Valid RN license in California
• Case Management (2 years of experience)
• Case Management experience within the last year
• Utilization Review (InterQual)
• Utilization Management

Preferred Qualifications

• Bachelor’s in Nursing

Key Skills and Knowledge

• Case management in a managed care environment
• Utilization review, levels of care, and observation status
• Post-acute levels of care and related regulatory compliance
• Healthcare reimbursement systems, including HMO, PPO, PPS, CMS, value-based reimbursement models, and alternative payment systems
• Laws, regulations, and professional standards affecting case management practice in an integrated delivery system
• General understanding of coding and DRG assignment
• Strong verbal and written communication and negotiation skills
• Excellent time management in a high-volume, rapidly changing environment
• Intermediate computer and technology skills
• Ability to work independently, exercise sound judgment, and collaborate effectively with patients, families, physicians, nurses, and other partners

Certifications and Licensure

• ACLS
• BLS
• PALS
• NRP
• CCRN
• TNCC
• NIH Stroke Certification
• State license verification required within 30 days of start
• NURSYS verification required within 30 days of start
• State license copy required if the verification does not include the license number

Pre-Start Requirements

• Background check
• Sex offender search
• EPLS/GSA/SAM search
• HHS/OIG search
• FACIS Level 3 screening
• California Medi-Cal search result if FACIS III cannot be run
• Transcript or diploma
• Education verification
• TB questionnaire
• Negative TB test or chest X-ray
• Physical exam
• Fit test
• Respiratory safety clearance
• Drug screen
• Flu vaccination documentation during flu season
• Color blind exam
• Employment application with full 7-year work history and no gaps
• Unit-specific skills checklist
• Job description review/signature
• Standards of business conduct review/signature
• Conditional offer attestation
• General regulatory orientation review/signature
• Vendor training, code of conduct, and overpayment refund policy review/signature

Notes

• Bachelor of Science in Nursing is preferred for RN positions
• Background check must be completed within 6 months of start
• References are an Aya requirement only and do not hold up client clearance