Travel RN - Case Management/Utilization Review - Case Management

American Traveler; Atlanta (GA); On-site; USD 90,000 - 120,000; Full time

Benefits offered by this job

High Pay

Bonuses

Medical Insurance (Day 1)?

Dental Insurance (Day 1)?

Vision Insurance (Day 1)?

401(k) Plan

Weekly payroll deposit

Free Online CEUs

Job summary

American Traveler, LLC is seeking an experienced Case Management RN for a hospital setting in Georgia. The role requires a minimum of 3 years in case management and prior travel nursing assignments. You will manage admission criteria, concurrent reviews, discharge planning, and ensure regulatory compliance.

The position offers weekdays 8-4:30 with no weekends or on-call, and supports travel assignments. Local candidates may be considered at the same bill rate; travel requirements and bonuses are

Qualifications

• Active GA or Compact RN license required.
• BLS certification required.
• Minimum 3 years of case management experience required.
• Prior travel nursing experience required.

Responsibilities

• Acute hospital Case Management/Utilization Review unit.
• Day shift schedule, Monday through Friday, 5x8 hours (8:00 AM - 4:30 PM).
• No weekend or on-call requirements.
• Floating required within facility and scope of practice as needed.
• Assess, evaluate, and drive discharge plans.
• Coordinate services to ensure patients reach appropriate levels of care.
• Monitor length of stay and identify barriers to discharge.
• Follow Medicare regulatory guidelines including patient choice, IMM notices, and MOON forms.
• Unit does not accept first-time travelers.
• Local candidates accepted at the same bill rate.

Skills

Case management

Utilization review

CMS/HIPAA knowledge

InterQual/Milliman guidelines

Nursing licensure

Job description

American Traveler is hiring an experienced Case Management RN for a hospital setting, requiring 3 years of case management experience and prior travel assignment history.

Requirements

• Active GA or Compact RN license required
• BLS certification required
• Minimum 3 years of case management experience required
• Prior travel nursing experience required
• Teaching hospital and community hospital experience preferred
• Experience with InterQual and Milliman guidelines
• Knowledge of CMS, CPT coding, DRG, HEDIS, HIPAA, ICD-10 coding, NCQA, OSHA, and Joint Commission standards
• Experience with admission criteria, concurrent review, continued stay reviews, medical necessity determinations, and appeals/denials processes
• Any EMR/charting system experience accepted

Responsibilities

• Acute hospital Case Management/Utilization Review unit
• Day shift schedule, Monday through Friday, 5x8 hours (8:00 AM - 4:30 PM)
• No weekend or on-call requirements
• Floating required within facility and scope of practice as needed
• Responsible for assessing, evaluating, and driving discharge plans
• Coordinates services to ensure patients reach appropriate levels of care
• Monitors length of stay and identifies barriers to discharge
• Follows Medicare regulatory guidelines including patient choice, IMM notices, and MOON forms
• Unit does not accept first-time travelers
• Max 7 days RTO per contract, to be finalized at time of submission
• No RTO permitted during orientation week
• No RTO requests permitted during September per manager request
• Holiday coverage required: if 1-2 major holidays fall within the assignment, both must be worked; if 3 major holidays fall within the assignment, 2 must be worked
• Major holidays include Memorial Day, Independence Day, Labor Day, Thanksgiving/Black Friday, Christmas Eve/Christmas Day, and New Year's Eve/Day
• Local candidates accepted at the same bill rate
• Former Piedmont perm/per diem/FCSS staff must be separated from all Piedmont facilities for one full year before applying as a traveler
• Travelers previously cancelled or deemed not returnable to a Piedmont facility must complete one successful assignment elsewhere before reapplying
• Candidates undergo a clinical screening process before being presented to the hiring manager
• Full compliance required to start on time; delays may result in a two-week push back due to biweekly orientation scheduling

Benefits

• High Pay and Bonuses
• Medical, Dental and Vision Insurance with Day 1 Options
• 401(k) Plan
• Weekly Payroll Deposit
• Free Online CEUs