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

Registered Nurse (RN) | Case ManagerLocation: Roseville, CAAgency: Malone HealthcarePay: $2,490 per weekStart Date: ASAPAbout the PositionJob ID: 887889 Estimated Weekly Gross: $2,490.39 Job TitleRegistered Nurse - Case Management (Hospital) LocationRoseville, CA | Acute CareSchedule / Job TypeContract | Days | Monday-Friday, 8:00 AM-4:30 PM | No weekends, no on-callKey ResponsibilitiesProvide acute inpatient case management services within a managed care environment, coordinating care across the continuum for patients and familiesConduct utilization review, assess levels of care, and manage observation status determinations in accordance with applicable regulationsCollaborate with physicians, nurses, payers, and ancillary partners to facilitate appropriate and timely patient care transitionsApply working knowledge of healthcare reimbursement systems (HMO, PPO, PPS, CMS) and regulatory standards including Title 22, CDPH, and TJCCommunicate effectively with patients, families, and interdisciplinary teams to promote quality outcomes and a positive patient experienceManage a high-volume caseload with rapidly changing priorities while maintaining organized and efficient work processesRequired QualificationsActive California Registered Nurse (RN) license required; license must be verifiable via Nursys (uploaded within the last 2 weeks) Minimum 2 years of RN experienceAcute inpatient Case Management experience in California is required - outpatient, home health, or health plan case management experience does not meet this requirementComprehensive knowledge of utilization review, levels of care, and observation statusWorking knowledge of laws and regulations governing case management practice, including CMS, Title 22, CDPH, and TJC standardsCandidates must live at least 50 miles from the facility to be eligible at the travel rate; local candidates are accepted at the local ratePreferred Experience / SkillsFamiliarity with healthcare reimbursement models including value-based reimbursement and alternative payment systemsGeneral understanding of coding and DRG assignment processesExperience working within an integrated delivery system with broad knowledge of post-acute levels of care and associated regulatory complianceStrong negotiation skills and experience interacting with payers and external constituentsWhy Join UsPredictable Monday-Friday daytime schedule with no weekend or on-call requirements, supporting a consistent work-life balanceOpportunity to work in a dynamic acute care environment applying specialized case management expertise across a managed care setting