Travel RN - Case Management/Utilization Review - Case Management

American Traveler, LLC.; Roseville (CA); On-site; USD 90,000 - 120,000; Full time

Benefits offered by this job

High pay and bonuses

Medical, Dental and Vision Insurance

401(k) Plan

Housing allowance

Travel and licensure reimbursements

Non-taxed per diem

Weekly payroll deposit

Job summary

American Traveler, LLC. is seeking an experienced RN Case Manager for a Case Management/Utilization Review role in California. An active CA RN license and at least 2 years of relevant experience are required.

Responsibilities include coordinating patient care within an integrated delivery system, promoting collaboration among care teams, and ensuring high-quality patient experiences. Local rate considerations apply; travel requirements possible.

Qualifications

• Active CA RN license is required.
• BSN preferred; graduate of accredited nursing program.
• Minimum 2 years of recent case management experience.
• Broad knowledge of healthcare delivery in managed care.
• Knowledge of Utilization Review, levels of care, and observation status.
• Familiarity with reimbursement systems (HMO, PPO, PPS, CMS).
• Understanding of CMS Title 22, CHA, CDPH, and TJC regulations.

Responsibilities

• Coordinate patient care within an integrated delivery system.
• Day shift: 8:00 AM–4:30 PM, five days a week, no weekends.
• Collaborate with physicians, nurses, patients, families, and ancillary partners.

Skills

Case management experience

Communication skills

Time management

Healthcare terminology

Education

BSN preferred

Nursing degree

Tools

Utilization Review systems

Job description

American Traveler is hiring an experienced RN Case Manager for a Case Management/Utilization Review role requiring an active CA RN license and 2 years of relevant experience.

Requirements

• Active CA RN license required
• Graduate of an accredited nursing school; BSN preferred
• Minimum 2 years of recent relevant case management experience required
• Broad knowledge of healthcare delivery and case management within a managed care environment
• Comprehensive knowledge of Utilization Review, levels of care, and observation status
• Familiarity with healthcare reimbursement systems (HMO, PPO, PPS, CMS, value-based models) preferred
• Working knowledge of case management regulations including CMS, Title 22, CHA Consent Manual, CDPH, and TJC
• Understanding of post-acute levels of care and related regulatory compliance
• General understanding of coding and DRG assignment process preferred
• Strong verbal, written, and negotiation communication skills
• Excellent time management skills for high-volume, fast-paced environments
• Intermediate computer and technology skills
• Two supervisor references obtained within the past year required for consideration

Responsibilities

• Case Management department setting within an integrated delivery system
• Day shift schedule, 5x8 hours, 8:00 AM to 4:30 PM
• Monday through Friday schedule with no weekends and no call requirement
• Coordinate patient care and promote collaboration among physicians, nurses, patients, families, and ancillary partners
• Exercise independent judgment and sound decision-making with physicians, payers, and patients
• Promote quality patient care and a positive patient experience
• Function effectively within a team-based care model
• Must reside within a 50-mile radius for local rate consideration
• Returning employees must have a 1-year separation before returning as a traveler
• Maximum RTO of 7 days per contract, with only 1 holiday request approved per contract
• Observed holidays include New Year's Day, Memorial Day, Independence Day, Labor Day, Thanksgiving Day, and Christmas Day
• Must be available for lab work within 3-5 days of contract signing
• 7-year work history verification required for all candidates

Benefits

• High Pay and Bonuses
• Medical, Dental and Vision Insurance with Day 1 Options
• 401(k) Plan
• Weekly Payroll Deposit
• Free Online CEUs
• Generous Housing Allowance
• Travel and Licensure Reimbursements
• Non-taxed Per Diem and Subsidy
• Traveler Rewards and Discounts