Travel Nurse RN - Case Manager - $2,490 per week in Roseville, CA

Acute inpatient Case Management experience in California is required - outpatient, home health, or health plan case management experience does not meet this requirement. Provide acute inpatient case management services within a managed care environment, coordinating care across the continuum for patients and families.

Job ID: 887889

Estimated Weekly Gross: $2,490.39

Job Title

Registered Nurse - Case Management (Hospital)
Location

Roseville, CA | Acute Care
Schedule / Job Type

Contract | Days | Monday-Friday, 8:00 AM-4:30 PM | No weekends, no on-call
Key Responsibilities

• Provide acute inpatient case management services within a managed care environment, coordinating care across the continuum for patients and families
• Conduct utilization review, assess levels of care, and manage observation status determinations in accordance with applicable regulations
• Collaborate with physicians, nurses, payers, and ancillary partners to facilitate appropriate and timely patient care transitions
• Apply working knowledge of healthcare reimbursement systems (HMO, PPO, PPS, CMS) and regulatory standards including Title 22, CDPH, and TJC
• Communicate effectively with patients, families, and interdisciplinary teams to promote quality outcomes and a positive patient experience
• Manage a high-volume caseload with rapidly changing priorities while maintaining organized and efficient work processes

Required Qualifications

• Active California Registered Nurse (RN) license required; license must be verifiable via Nursys (uploaded within the last 2 weeks)
• Minimum 2 years of RN experience
• Acute inpatient Case Management experience in California is required - outpatient, home health, or health plan case management experience does not meet this requirement
• Comprehensive knowledge of utilization review, levels of care, and observation status
• Working knowledge of laws and regulations governing case management practice, including CMS, Title 22, CDPH, and TJC standards
• Candidates must live at least 50 miles from the facility to be eligible at the travel rate; local candidates are accepted at the local rate

Preferred Experience / Skills

• Familiarity with healthcare reimbursement models including value-based reimbursement and alternative payment systems
• General understanding of coding and DRG assignment processes
• Experience working within an integrated delivery system with broad knowledge of post-acute levels of care and associated regulatory compliance
• Strong negotiation skills and experience interacting with payers and external constituents

Why Join Us

• Predictable Monday-Friday daytime schedule with no weekend or on-call requirements, supporting a consistent work-life balance
• Opportunity to work in a dynamic acute care environment applying specialized case management expertise across a managed care setting