Acute Care, Ambulance Services, Best Practices, Boring, Case Management, Certified Case Manager (CCM), Content Management Systems (CMS), Diagnosis-Related Group (DRG), Discharge Plans, Documentation, Documentation Plan, Durable Medical Equipment, Geriatrics, HIPAA (Health Insurance Portability and Accountability Act), Health Informatics, Health Maintenance Organization (HMO), Health Plan, Healthcare, Homeless Services, Logistics, Maintain Compliance, Medi-Cal, Medicare, Onboarding, Patient Care, Patient Care Authorizations, Patient Care Denials, Registered Nurse (RN), Regulations, Regulatory Compliance, Reimbursement, Telephone Skills, Time Management, Transportation and Logistics, Treatment Plan, Utilization Management
Location: Torrance, CA
Contract Type: Travel Contract
Shift Type: Monday-Friday, 8:00 AM - 4:30 PM (Day); every-other-weekend rotation required and must be available for holidays
Hours per Week: 40
Candidate Pay Rate: $2600- $2850 per week
About United Health Care Staffing
At United Health Care Staffing (UHC Staffing), we believe healthcare staffing should be more than just finding a job. We are here to connect amazing professionals with opportunities that make their careers exciting, rewarding, and meaningful. With us, you're not just signing up for a contract you are joining a team that's got your back, answers your calls, and maybe even cracks a joke or two to brighten your day. Think of us as the travel buddy who handles the logistics while you focus on what you do best helping people heal.
Roles & Responsibilities
- Coordinate patient care across interdisciplinary teams to ensure safe, timely discharges
- Conduct admission reviews and utilization reviews using InterQual and Medicare guidelines to determine medical necessity
- Develop and implement individualized discharge plans, arranging DME, SNF placements and ambulance transport as needed
- Document care plans and reviews accurately in Epic and other computerized charting systems
- Facilitate family meetings and participate in the development of treatment plans
- Manage appeals, denials, and benefits eligibility tasks to support patient coverage needs
- Perform care coordination for diverse patient populations including neonates through geriatrics
- Maintain regulatory compliance with CMS, DRG processes and HIPAA guidelines
Qualifications
- Active California state license required (pending license accepted but must be licensed by start date)
- Minimum 2 years of acute care case management or discharge planning experience
- Experience with travel/contract assignments required (first-time travelers can be screened)
- Proven competence with Epic or similar charting systems (computerized documentation required)
- Strong knowledge of InterQual criteria, Medicare guidelines, and admission criteria
- Ability to independently arrange DME, SNF and ambulance transport and handle complex care transitions
- Availability for every-other-weekend rotation and holiday coverage
Knowledge & Skills
- InterQual criteria and admission/review processes
- Utilization review and determination of medical necessity
- Care coordination and discharge planning best practices
- Familiarity with HMOs, IPAs, Medicare and Medi-Cal processes
- Regulatory knowledge: CMS, DRG and HIPAA
- Experience arranging DME, SNF placement and transportation logistics
- Strong documentation skills in Epic and computerized charting systems
- Ability to work with diverse patient populations and complex social determinants (homelessness, substance use, foster/adoption situations)
Benefits
- Supportive team environment that values your clinical judgment and growth
- Medical, dental & vision coverage to keep you and your family healthy
- Paid time off so you can recharge and stay energized
- Licensure assistance & reimbursement to make credentialing easier
- Travel reimbursement and support for contract logistics
- Comprehensive onboarding with a 40-hour orientation to set you up for success
- Opportunities for professional development and continuing education
- Work/life friendly schedule with consistent daytime hours
Travel Perks: Explore Torrance, CA
Torrance sits in the beautiful South Bay — you can spend downtime strolling Torrance Beach or exploring Redondo and Manhattan Beach piers, shop at Del Amo Fashion Center, enjoy nature at Madrona Marsh, or take quick weekend trips to the Palos Verdes cliffs and Long Beach (Aquarium of the Pacific). Great local eats, coastal walks, and easy access to greater Los Angeles make weekends anything but boring.
Apply Now
Ready to start your next adventure as a Acute Care Case Manager? Let's get you moving forward!
Send your resume call us at today.
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#AcuteCareCaseManagerJobs #TorranceCAJobs #HealthcareJobs #CaseManagement #InterQual #EpicJobs #UHCCareers #CareCoordination #TravelHealthcare #DischargePlanning
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United Health Care Staffing, Inc.