Travel Utilization Review Registered Nurse

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Prime Staffing is seeking a travel nurse RN Case Manager, Utilization Review for a travel nursing job in Santa Rosa, California.

Job Description & Requirements\n

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• Specialty: Utilization Review
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• Discipline: RN
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• Start Date: 08/24/2026
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• Duration: 13 weeks
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• 40 hours per week
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• Shift: 8 hours, days
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• Employment Type: Travel
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Travel RN Case Manager | Santa Rosa, CA
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Position Overview\n

We are seeking an experienced RN Case Manager for a travel assignment in a fast-paced acute care hospital setting. The ideal candidate will have strong experience in care coordination, discharge planning, utilization management principles, and interdisciplinary collaboration. This position offers an excellent opportunity to work with a diverse adult and geriatric patient population while supporting positive patient outcomes through effective case management services.

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Assignment Details\n

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• Position: RN Case Manager
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• Start Date: 07/13/2026
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• Shift: Days, 5x8-Hour Shifts
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• Shift Hours: 8:00 AM – 4:30 PM
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• Contract Type: Travel Assignment
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• Weekend Requirement: 2 weekends every 6 weeks
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• On-Call Requirement: None
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• Floating: Yes, based on department needs
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Required Qualifications\n
\n  Experience\n

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• Minimum 2 years of Acute Care Hospital Case Management experience
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• Recent experience in:\n
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  • Care Coordination
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  • Discharge Planning
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  • Fast-paced Acute Care environments
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• Current work history within the last 2 years (Hard Stop)
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Required Skills\n

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• Epic EMR experience (Required)
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• Experience managing a patient caseload of approximately 20 patients per day
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• Strong communication and interdisciplinary collaboration skills
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Certifications\n

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• BLS Certification
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Travel Experience\n

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• Preferred, but first-time travelers may be considered based on clinical review and experience.
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Core Responsibilities\n

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• Care Coordination
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• Discharge Planning
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• Needs Assessment
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• Durable Medical Equipment (DME) Coordination
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• Prior Authorizations
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• Benefits Eligibility Verification
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• Plan of Care Development
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• Admission Criteria Assessment
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• Patient and Family Education
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• Interdisciplinary Team Collaboration
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Additional Responsibilities\n

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• Facilitate and participate in family meetings
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• Assist with treatment plan development
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• Coordinate Skilled Nursing Facility (SNF) placements
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• Arrange ambulance transportation
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• Coordinate post-acute services and community resources
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• Work independently to ensure timely and safe patient discharges
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Preferred Knowledge & ExperienceCase Management & Utilization Review\n

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• Medical Necessity Determination
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• InterQual Criteria
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• Disease Management
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• Disability Case Management
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• Workers' Compensation Case Management
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• Data Abstraction
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Regulatory Knowledge\n

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• CMS Regulations
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• HIPAA Compliance
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• OSHA Standards
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• Department of Health Regulations
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• DRG Methodology
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• Joint Commission Standards
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• Core Measures & National Patient Safety Goals
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• ICD-10 Coding
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• CPT Coding & Billing
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• NCQA Standards
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Preferred Acute Care Specialty Experience\n

Experience in any of the following areas is highly desirable:

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• Medical-Surgical
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• Intensive Care Unit (ICU)
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• Emergency Department
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• Step-Down / PCU / IMC / Observation
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• Pediatrics
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• NICU
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• Behavioral Health
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• Trauma Level I
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• Trauma Level II
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Patient Population\n

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• Adult Patients
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• Geriatric Patients
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Patient Caseload\n

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• Approximately 1:20 Case Manager-to-Patient Ratio
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Interdisciplinary Support Services\n

The Case Management team works closely with:

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• Physical Therapy
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• Respiratory Therapy
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• Social Services
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• Radiology
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• Phlebotomy
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• IV Teams
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• Transportation Services
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• Interpretation Services
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• Rapid Response Teams
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• Unit Secretaries
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Additional Preferred Experience\n

Candidates with experience working with the following are highly valued:

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• HMOs and IPAs
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• Skilled Nursing Facilities (SNFs)
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• Durable Medical Equipment (DME) Vendors
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• Community Resources
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• Post-Acute Care Coordination
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• Ambulance Transportation Arrangements
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Documentation & TechnologyRequired\n

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• Epic EMR
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About Prime Staffing\n \n