Slate Healthcare is seeking a travel nurse RN Case Management for a travel nursing job in Santa Rosa, California.Job Description & Requirements
Registered Nurse - Case Manager - CM -
Job Description:
Coordinates the utilization management, resource management, discharge planning, post-acute care referrals and care facilitation.
Oversees the management of acute patient populations across the care continuum with a focus to provide coordinated and integrated care to prevent unnecessary admissions or readmissions.
Provides discharge planning coordination and Intervention for the high-risk patient presenting to the Emergency Department.
Strives to promote patient wellness, improved care outcomes, efficient utilization of health services and minimized denials of payment among a patient population with complex health needs.
Requirements:
BLS, CA License
2 years exp
Shift Details: 5x8s 0830-1700, minimum 2 weekend shifts per month, if floated, will only work in CM M
Skills: Acute Hospital, Long Term Acute Care/Rehab/Skilled Nursing, Admission Criteria, Care coordination, Discharge Planning, Utilize InterQual Criteria, Utilize Milliman Guidelines, Admission Criteria, Appeals and Denials, Concurrent Review, Continued Stay Reviews, Medical Necessity, Retrospective Review, Utilize InterQual Criteria, Utilize Milliman Guidelines
CMS: Centers for Medicare and Medicaid Services, CPT (Current Procedural Terminology) coding and billing, Department of Health, DRG (Diagnosis Related Groups), HEDIS (The Healthcare Effectiveness Data and Information Set) Measures, HIPAA (The Health Insurance Portability and Accountability Act), ICD 10 Coding, NCQA (National Committee for Quality Assurance), OSHA: Occupational Safety and Health Administration, The Joint Commission/ Core Measure/National Safety Goals, Workers Compensation
Unit Details:
Patient Ratios Days: 20
Float Required: Float between inpt and ED unit coverage
Patient Age Groups: Adults, Geriatrics
Daily Census: 100-120
Number of Visits Per Day: 50
Number of Rooms: 120
Number of Beds: 120
Slate Healthcare Job ID #7b55669e-8e0e-41be-bb57-fc9901250218. Pay package is based on 8 hour shifts and 40 hours per week (subject to confirmation) with tax-free stipend amount to be determined.
About Slate HealthcareSlate Healthcare is a premier travel healthcare staffing agency, connecting healthcare professionals with thousands of opportunities at top-tier hospitals and facilities across the country.
We’re committed to supporting nurses and allied health professionals in building stable, fulfilling careers—while embracing the freedom and excitement that comes with travel. Our goal is simple: to offer flexibility, competitive pay, and personalized placements that align with each clinician’s lifestyle and career goals.
At Slate, we empower our professionals to choose when and where they work, while ensuring they receive the highest compensation possible—because we believe that exceptional care starts with empowered caregivers.
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