RN II-Case Management/ Utilization Review (CNA)

Location: California 93405
Pay: $2,743 – $2,905/week
Schedule: Day Shift, 4x10s (no set days; occasional weekends)
Hours: 7:30 AM – 6:00 PM
Call: None

• Perform utilization review using InterQual criteria

• Coordinate discharge planning with patients, families, and agencies

• Collaborate with providers to ensure appropriate level of care

• Monitor patient progress and support timely care transitions

• Document case management activities and authorizations

Education & Experience

• Associate Degree (Required)

• BSN (Preferred)

• 3–5 years acute care nursing experience (Required)

• At least 1 year hospital case management experience (Required)

• Utilization review/discharge planning experience (Preferred)

Licensure & Certifications

• Active California RN license (Required)

• BLS certification (Required)

Skills

• Knowledge of InterQual criteria and Medicare guidelines (Preferred)

• Proficiency in Word, Excel, Outlook, and basic computer systems

• No call required; occasional weekend rotation

• Must comply with all vaccination requirements (medical/religious exemptions may apply)