Description

American Traveler is hiring a travel RN - Case Manager for a primarily virtual role supporting complex cases across a health system and community, requiring inpatient case management experience and an active CA RN license.

Details

• Primarily virtual/telephonic position supporting complex patient cases across the health system and in the community
• Occasional floating required between offices in Emeryville and San Francisco
• Work settings include acute hospital and ambulatory environments; behavioral health and telephonic settings are a plus
• Day shift schedule: 5x8s, 8:00 AM – 4:30 PM
• Epic EMR experience required
• Patient caseload ratio of 1:25
• Case management responsibilities include discharge planning, concurrent review, continued stay reviews, care coordination, utilization review, prior authorizations, retrospective review, needs assessment/DME ordering, disease management, and benefits eligibility
• Utilizes InterQual criteria for medical necessity and utilization review determinations
• Regulatory knowledge required: CMS, DRG, HIPAA, and The Joint Commission/Core Measures/National Safety Goals

Requirements

• Active CA RN license required
• BLS certification required (AHA or ARC only)
• Minimum 2 years of inpatient case management experience required
• Travel nursing experience required
• Teaching hospital and community hospital experience both required
• Epic EMR experience required
• Trauma Level I or II experience preferred
• Charge nurse experience preferred
• Behavioral health, ED, ICU, SDU/PCU/IMC/Obs experience preferred
• 2 supervisor references obtained within the past year required for consideration
• 7-year work history verification required

Additional Information

• Local candidates are accepted; candidates must reside more than 50 miles from the facility to qualify for the travel pay rate
• Returning travelers must have been separated from the facility for at least 1 year before returning
• RTO is limited to a maximum of 7 days per contract
• Only 1 holiday may be requested off per contract; covered holidays include New Year's Day, Memorial Day, Independence Day, Labor Day, Thanksgiving Day, and Christmas Day (holidays begin at 7:00 PM the night before and end at 7:00 AM the day after)