["Travel Case Manager Registered Nursein Hayward, CA","Travel Case Manager Registered Nursein Hayward, CA"]

Registered Nurse

Job Details

Pay: $2,729.40 to $2,914.60 weekly

Assignment Length: 13 Weeks

Schedule: 5x8-Hour 09:00 - 17:30

Openings: 1

Start Date: 08/17/2026

Experience: 5.0 year(s)

Certifications: BLS, RN License in CA

Skills: Acute Hospital, Admission Criteria, Care Coordination, Discharge Planning, Utilize Milliman Guidelines, Appeals and Denials, Concurrent Review, Continued Stay Reviews, Medical Necessity, Retrospective Review, Utilize InterQual Criteria, 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 guidelines (Health Insurance Portability and Accountability Act), ICD 10 Coding, NCQA (National Committee for Quality Assurance), OSHA, The Joint Commission/ Core Measure/National Safety Goals, Workers Compensation, Emergency Department, ICU, MS, Surgical Services, Appeals and Denials, Benefits Eligibility, Concurrent Review, Continued Stay Reviews, Determine Medical Necessity per Evidence-Based Guidelines, Disease Management, Needs Assessment/ Order DME, Plan of Care, Pre-Cert Review, Retrospective Review, Worker's Comp Case Management

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Charting System: Meditech

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