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Travel Nurse RN - Case Manager - $2,744 per week in Irvine, CA

TravelNurseSource

Irvine, CA

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JOB DETAILS
SALARY
$2,744–$2,744
SKILLS
Acute Care, Administrative Skills, Basic Life Support (BLS), Case Management, Certified Case Manager (CCM), Coding Standards, Communication Skills, Content Management Systems (CMS), Current Procedural Terminology (CPT), Diagnosis-Related Group (DRG), Discharge Plans, HIPAA (Health Insurance Portability and Accountability Act), Healthcare Effectiveness Data and Information Set (HEDIS), ICD-10, Long-Term Care, National Committee for Quality Assurance (NCQA), OSHA, Organizational Skills, Patient Care, Patient Safety, Registered Nurse (RN), Regulations, Rehabilitation Nursing, The Joint Commission (TJC), Utilization Management
LOCATION
Irvine, CA
POSTED
Today
TravelNurseSource is working with Cynet Health to find a qualified Case Manager RN in Irvine, California, 92618!

Job Title: Case Manager RN Profession: Registered Nurse Specialty: Case Manager Duration: 13 weeks Shift: Day Hours per Shift: 12 hours Experience: Minimum of 5 years in specialty License: State License required Certifications: BLS required; BSN required Must-Have: Certification in chemotherapy is encouraged Description: Complex inpatient Case Manager and Utilization Review RN required for a Cancer Specialty Hospital. The position starts on June 16, 2026. Candidates must have a minimum of 5 years of experience in the specialty. Experience with Epic documentation and InterQual criteria is required. Candidates must be able to utilize SBAR communication effectively. Weekends will be required as part of the job responsibilities. Skills and experience needed include acute hospital care, long-term acute care, rehabilitation, skilled nursing, care coordination, admission criteria, discharge planning, and utilization review processes. Candidates should be knowledgeable in UR appeals and denials, concurrent stay reviews, and retrospective reviews. Experience with CMS guidelines, CPT coding, DRG classifications, HEDIS measures, HIPAA guidelines, ICD-10 coding, and NCQA standards is essential. Understanding OSHA regulations and The Joint Commission's core measures and national safety goals is also necessary. Qualified applicants must be able to coordinate patient care effectively. This position involves significant compliance with medical necessity criteria and specific documentation standards. Individuals must possess the ability to handle a variety of administrative and clinical tasks within a fast-paced environment. Candidates must have a strong commitment to quality patient care and safety practices. This role offers an opportunity to make a significant impact on patient outcomes through effective utilization review and care management.

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