| Location | Greenbrae, CA |
| Salary | $3,100–$3,200 |
RN Case Manager (Strong Utilization Review (InterQual) Experience Required)
Contract | Full-Time | Quick Start
November 10, 2025
Monday through Friday | 07:30 AM – 4:00 PM | 8-hour shifts | 40 hours per week guaranteed
13 Weeks
Position Overview:We are seeking a highly skilled Registered Nurse (RN) Case Manager with strong Utilization Review and InterQual experience to join our care management team. This role plays a vital part in ensuring patients receive the most appropriate level of care while optimizing hospital resources and supporting quality outcomes.
The ideal candidate will bring a deep understanding of acute care processes, demonstrate proficiency in EPIC EMR, and possess the ability to assess patient needs, coordinate interdisciplinary care, and apply evidence-based utilization criteria. This position offers an opportunity to contribute directly to patient advocacy, care coordination, and healthcare efficiency in a dynamic hospital environment.
Key Responsibilities:Perform initial and concurrent patient assessments to determine care needs and discharge readiness.
Utilize InterQual criteria to conduct comprehensive Utilization Reviews ensuring medical necessity and compliance with payer requirements.
Collaborate effectively with physicians, nurses, social workers, and other healthcare professionals to develop and implement individualized care plans.
Document all case management activities accurately and promptly within EPIC EMR.
Participate in multidisciplinary rounds and discharge planning discussions to ensure safe, timely transitions of care.
Maintain compliance with hospital standards, regulatory guidelines, and best practices in utilization management.
Provide coverage during holidays as required.