Case Manager RN Registered Nurse

Roseville, CA - USA

Monthly Salary: Not Disclosed

Posted on: 7 hours ago

Vacancies: 1 Vacancy

Job Summary

We are seeking a Registered Nurse to join our team! You will be responsible for the assessment diagnosis and treatment of assigned patients.

Why Choose Star Nursing
Start as soon as possible!
Facility: Hospital
Shifts: 08:00 AM to 04:30 PM / 8hrs./day
Pay Rate: Earn up to $70/hr.

Travel with housing: $55/hr

Travel: $25/hr. taxable $1960/wk. non taxable - 25/49

** Must be 50 miles away from permanent residence to qualify for housing allowance**

Preferred Qualifications

Recent Case Management experience in an acute care hospital setting
Experience with Kaiser Permanente systems workflows or member population
EPIC electronic medical record experience strongly preferred
Familiarity with InterQual Milliman or similar medical necessity criteria
Experience coordinating post-acute services and insurance authorizations
Bachelors degree in Nursing (BSN preferred)
Certification in Case Management (CCM or ACM) preferred

Job Description RN Case Manager

RN Case Manager is responsible for coordinating and managing the care of hospitalized patients to ensure safe timely and cost-effective outcomes. This role focuses on care progression discharge planning utilization review and interdisciplinary collaboration to support patients throughout their hospital stay and transition to the next level of care.

The Case Manager works closely with physicians bedside nurses social workers and external providers to ensure appropriate resource utilization regulatory compliance and continuity of care. The RN serves as a liaison between patients families healthcare teams and post-acute services.

Duties & Responsibilities

Coordinate and oversee care progression for assigned patients to ensure safe efficient and timely treatment.
Perform initial and ongoing assessments to identify discharge needs barriers and appropriate level of care.
Develop and implement comprehensive discharge plans in collaboration with patients families and interdisciplinary teams.
Participate in daily rounds/huddles communicating updates and identifying risks or delays.
Coordinate transfers to appropriate settings such as SNF rehab LTAC home health or outpatient services.
Obtain and track insurance authorizations referrals and approvals for procedures services and post-acute care.
Monitor patient progress length of stay and resource utilization to support quality outcomes and cost-effective care.
Provide education and support to patients and families regarding care plans discharge instructions and follow-up needs.
Maintain accurate documentation of assessments care coordination activities and discharge plans in the electronic health record (EHR).
Collaborate with utilization review social services and clinical teams to ensure compliance with regulatory and payer requirements.
Serve as a liaison to ensure smooth transitions across the continuum of care and help reduce readmissions.

Resume Guidelines (Required)

Valid RN CA License
Resume must be current and include all employment gaps explained
Must include at least 7 years work history (or full work history if less)
Each role must include title unit/department facility name city/state dates
Include FT/PT status and hours worked
Include EMR/EPIC experience
Include month/year of graduation
If certifications are listed provide copies upon request

If you meet the above requirements please forward a current resume ASAP!

One of our healthcare recruiters will review your resume and contact you with the next step.

We are seeking a Registered Nurse to join our team! You will be responsible for the assessment diagnosis and treatment of assigned patients. Why Choose Star Nursing Start as soon as possible! Facility: Hospital Shifts: 08:00 AM to 04:30 PM / 8hrs./day Pay Rate: Earn up to $70/hr. Travel with housing...