RN Case Manager

ID: Shift: Day 5x8-Hour (08:00 - 16:30) Description: Job Description Start date: ASAP First Time Traveler: No Weekend Requirement: Every Other Weekend Ratios: n/a Rooms/Beds: 82 Avg. Daily Census: 50-55 Years of experience: **HARDSTOP-Acute care hard stop- must have-MS MS/tele and ICU and some ER **HARDSTOPS** Care Coordination Utilization Review discharge planning Interqual and Epic are all HARDSTOPS. CASE MANAGEMENT EXPERIENCE IN CALIFORNIA REQUIRED PLEASE SCREEN IF THEY DO NOT HAVE THIS DO NOT PASS Float: n/a CA state license: Yes Pending License accepted: No RTO Restrictions: No more than 7 daysHospital Highlights Type of Facility: acute care Scrub Color: Modified Time:5/11/2026 12:00:00 AM Account Manager: Jordan Hinojos Account Manager Email: COVID-19 Vaccine: Not Required Flu Vaccine: Unknown Submittals:High Job Requirements & Qualifications Previous Charge Experience : - Years of Experience : 2 Patient Ratio Experience : Charting System Experience : Required Charting System Name : Epic Community Hospital Experience : Required LTAC Experience : - Trauma Level I Experience : - Trauma Level II Experience : - Travel Experience Required : Yes Certifications : Skills : Acute Hospital Admission Criteria Admission Criteria Benefits Eligibility Care coordination CMS: Centers for Medicare and Medicaid Services Concurrent Review Concurrent Review Continued Stay Reviews Continued Stay Reviews CPT (Current Procedural Terminology) coding and billing* Department of Health Determine Medical Necessity per Evidence-Based Guidelines Disability case management Discharge Planning Disease management DRG (Diagnosis Related Groups) Emergency Department HEDIS (The Healthcare Effectiveness Data and Information Set) Measures* HIPAA guidelines (Health Insurance Portability and Accountability Act) ICD 10 Coding* ICU Medical Necessity MS NCQA (National Committee for Quality Assurance)* Needs Assessment/ Order DME OSHA* Plan of Care Pre-Cert Review* Prior Authorization Prior Authorizations Retrospective Review* Retrospective Review* The Joint Commission/ Core Measure/National Safety Goals Utilize InterQual Criteria Utilize InterQual Criteria Worker s comp case management* Workers Compensation CA experience in Case Management Unit Details Staffing & Scheduling Scheduling Type : self Patient Ratios Days : 15 Patient Ratios Nights : 45 Patient Ratios Weekends : 25 Float Required : - Call Required : - Weekend Coverage : True Number of Weekend Shifts Per Contract : - Pre-Approved Time Off : one Orientation Hours : 40 Facility & Patient Care Details Patient Age Groups : Adults Geriatrics Daily Census : 50-55 Number of Visits Per Day : - Number of Rooms : 82 Number of Beds : 82 Additional Unit Information Interdisciplinary Support : Interpretation Services Social Services Patient Diagnoses : **HARDSTOP-Acute care hard stop- must have-MS MS/tele and ICU and some ER**HARDSTOPS**Care Coordination Utilization Reviewdischarge planning Interqual and Epic are all HARDSTOPS CASE MANAGEMENT EXPERIENCE IN CALIFORNIA REQUIRED PLEASE SCREEN IF THEY DO NOT HAVE THIS DO NOT PASS Special Procedures/Unit Details : REQUIRED: Admission Criteria (InterQual) (MCG in NorCal) If clinician does not have experience in CA as a Case Manager please Screen for manager to review. Special Equipment : Weekend rotation Case Load up to 15 patients on weekdays and can be higher on weekends depending on census #Tier3 Travel Compliance We must have these three things before your traveler can be reviewed by our clinical team so please submit with this information included: What is their upcoming interview availability. Please confirm the DOB and full SSN is correct in Connect. Skills Checklist found in documents must be completed and sent with submission. RTO: Aya Offer: 7 days RTO Client offer: 7 days RTO *Anything more will potentially delay your offer while we run approval by the client. To minimize turn around please limit total RTO requests Must commit to working 3 of the 5 holidays (Thanksgiving Xmas Eve Xmas Day NYE NYD) References Required: 2 References covering 1 year (6 months for CNA s) within the last 3 years during the compliance process and prior to start. Can include Charge RNs/Lead Local radius: 50 miles Local rule: accepted at lower BR please reach out to AM for local rate ***** ALL travelers are expected to float between all facilities within a given state. travelers refusal to float may result in termination of assignment and/or forfeiture of guaranteed hours.***** If required for the assignment Client agrees to supply Providers with communication devices (i.e. cell phone pager etc.) needed to perform the duties as assigned at no cost to Provider or Agency. If Client does not provide a mobile phone required for the assignment Client agrees to pay Agency monthly for all work-related cell phone use by each Provider up to a maximum amount of $50.00 as invoiced by Agency. Providers will be responsible for submitting monthly cell phone bill directly to Agency. Modules: Modules are non-billable average 16 hours spent. Over 20 hours requires PM approval Modules are completed pre-start and annually Time spent on modules is self-reported completion is recorded in Workramp transcripts Submittal Details: #Tier3 Travel ComplianceWe must have these three things before your traveler can be reviewed by our clinical team so please submit with this information included:What is their upcoming interview confirm the DOB and full SSN is correct in Checklist found in documents must be completed and sent with :Aya Offer: 7 days RTOClient offer: 7 days RTO*Anything more will potentially delay your offer while we run approval by the client. To minimize turn around please limit total RTO requestsMust commit to working 3 of the 5 holidays (Thanksgiving Xmas Eve Xmas Day NYE NYD)References Required:2 Referencescovering 1 year (6 months for CNA s) within the last 3 yearsduring the compliance process and prior to start. Can include Charge RNs/LeadLocal radius: 50 milesLocal rule: accepted at lower BR please reach out to AM for local rate***** ALL travelers are expected to float between all facilities within a given state. travelers refusal to float may result in termination of assignment and/or forfeiture of guaranteed hours.*****If required for the assignment Client agrees to supply Providers with communication devices (i.e. cell phone pager etc.) needed to perform the duties as assigned at no cost to Provider or Agency. If Client does not provide a mobile phone required for the assignment Client agrees to pay Agency monthly for all work-related cell phone use by each Provider up to a maximum amount of $50.00 as invoiced by Agency. Providers will be responsible for submitting monthly cell phone bill directly to :Modules are non-billable average 16 hours spent. Over 20 hours requires PM approvalModules are completed pre-start and annuallyTime spent on modules is self-reported completion is recorded in Workramp transcripts Guaranteed Hours: Contract Weeks:91