Description

American Traveler is hiring an RN Case Manager for a hybrid role supporting complex case management across inpatient and community settings, requiring CA RN licensure and inpatient case management experience.

Details

• Supports complex case management across the health system and virtually in the community
• May float between Emeryville and San Francisco offices as needed
• Hybrid schedule with 2 days onsite and 3 days remote per week
• Day shift schedule, 5x8-hour shifts from 0800-1630
• Uses Epic charting system
• Case load ratio of 1:25

Requirements

• Active CA RN license required
• BLS certification required (AHA or ARC)
• Minimum 2 years of inpatient case management experience required
• Teaching hospital experience required
• Community hospital experience required
• Prior travel experience required
• Experience with utilization review, discharge planning, and care coordination
• Familiarity with InterQual criteria, CMS guidelines, DRG, HIPAA, and Joint Commission standards
• Previous charge experience preferred
• Trauma Level I or II experience preferred
• Experience in Behavioral Health, Emergency Department, SDU/PCU/IMC/Obs, or ambulatory settings preferred

Additional Information

• Responsibilities include admission criteria review, concurrent and continued stay reviews, discharge planning, disease management, prior authorizations, and retrospective reviews
• Coordinates needs assessments and durable medical equipment orders
• Must reside within a 50-mile radius to qualify for local rate
• Local candidates accepted at the local rate
• Returning staff must have a 1-year separation before returning as a traveler
• Maximum RTO of 7 days per contract, with only 1 holiday request permitted per contract
• Holiday coverage includes New Year's Day, Memorial Day, Independence Day, Labor Day, Thanksgiving Day, and Christmas Day
• Must complete lab work within 3-5 days of contract signing
• Can only be submitted to one Sutter Health facility at a time