RN - Case Manager

Cynet HealthStaff; Santa Monica (CA); Hybrid; USD 85,000 - 100,000; Full time

Job summary

Cynet HealthStaff in Santa Monica, CA seeks an experienced RN Case Manager for a 13-week float position across units. The role involves care coordination, discharge planning, and medical necessity determinations, with a 4x10 hour day shift (07:00–17:30).

BSN required, BLS, 2 years in case management/utilization review; must be adaptable to multiple units; no weekend coverage; proficient with electronic health records and strong organizational skills.

Qualifications

• 2 years of case management/utilization review experience
• Experience with care coordination, discharge planning, and medical necessity determination
• Knowledge of appeals, denials, and concurrent reviews

Responsibilities

• Float to other units as needed
• Manage care coordination and discharge planning across patient ages

Skills

Care coordination

Discharge planning

Medical necessity

Appeals/denials

Concurrent reviews

Evidence-based guidelines

Quality improvement

Retrospective reviews

Education

BSN degree

Tools

EHR system

Job description

RN - Case Manager

Profession: Registered Nurse

Specialty: Case Management

Duration: 13 weeks

Shift: Day

Hours per Shift: 10 hours (07:00 - 17:30)

Experience: 2 years of case management/utilization review experience

License: BSN Required

Certifications: BLS

Must-Have:

• 2 years of case management/utilization review experience
• Ability to float to other units as needed

Description:This position is a float position.Candidates will float to other units where there is a case manager need.The shift is 4x10s, Monday through Friday.First-time candidates are accepted as long as experience requirements are met.No weekend coverage is required.Charting is done using an electronic health record system.Candidates should possess skills in care coordination, discharge planning, and medical necessity determination.Experience with appeals, denials, and concurrent reviews is also necessary.Knowledge of evidence-based guidelines is essential.Candidates should be familiar with quality improvement processes and retrospective reviews.Utilization of established criteria for medical necessity reviews is expected.Candidates must have the ability to coordinate care effectively across various patient age groups, including neonates, adolescents, adults, and geriatrics.This role requires excellent communication and organizational skills to manage a diverse patient population effectively.