Job Description
Prime Staffing is seeking a travel nurse RN Case Manager, Utilization Review for a travel nursing job in Santa Rosa, California.
Job Description & Requirements
- Specialty: Utilization Review
- Discipline: RN
- Start Date: 08/24/2026
- Duration: 13 weeks
- 40 hours per week
- Shift: 8 hours, days
- Employment Type: Travel
Travel RN Case Manager | Santa Rosa, CA
Position Overview
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.
Assignment Details
- Position: RN Case Manager
- Start Date: 07/13/2026
- Shift: Days, 5x8-Hour Shifts
- Shift Hours: 8:00 AM – 4:30 PM
- Contract Type: Travel Assignment
- Weekend Requirement: 2 weekends every 6 weeks
- On-Call Requirement: None
- Floating: Yes, based on department needs
Required Qualifications
Experience
- Minimum 2 years of Acute Care Hospital Case Management experience
- Recent experience in:
- Care Coordination
- Discharge Planning
- Fast-paced Acute Care environments
- Current work history within the last 2 years (Hard Stop)
Required Skills
- Epic EMR experience (Required)
- Experience managing a patient caseload of approximately 20 patients per day
- Strong communication and interdisciplinary collaboration skills
Certifications
- BLS Certification
Travel Experience
- Preferred, but first-time travelers may be considered based on clinical review and experience.
Core Responsibilities
- Care Coordination
- Discharge Planning
- Needs Assessment
- Durable Medical Equipment (DME) Coordination
- Prior Authorizations
- Benefits Eligibility Verification
- Plan of Care Development
- Admission Criteria Assessment
- Patient and Family Education
- Interdisciplinary Team Collaboration
Additional Responsibilities
- Facilitate and participate in family meetings
- Assist with treatment plan development
- Coordinate Skilled Nursing Facility (SNF) placements
- Arrange ambulance transportation
- Coordinate post-acute services and community resources
- Work independently to ensure timely and safe patient discharges
Preferred Knowledge & Experience
Case Management & Utilization Review
- Medical Necessity Determination
- InterQual Criteria
- Disease Management
- Disability Case Management
- Workers' Compensation Case Management
- Data Abstraction
Regulatory Knowledge
- CMS Regulations
- HIPAA Compliance
- OSHA Standards
- Department of Health Regulations
- DRG Methodology
- Joint Commission Standards
- Core Measures & National Patient Safety Goals
- ICD-10 Coding
- CPT Coding & Billing
- NCQA Standards
Preferred Acute Care Specialty Experience
Experience in any of the following areas is highly desirable:
- Medical-Surgical
- Intensive Care Unit (ICU)
- Emergency Department
- Step-Down / PCU / IMC / Observation
- Pediatrics
- NICU
- Behavioral Health
- Trauma Level I
- Trauma Level II
Patient Population
- Adult Patients
- Geriatric Patients
Patient Caseload
- Approximately 1:20 Case Manager-to-Patient Ratio
Interdisciplinary Support Services
The Case Management team works closely with:
- Physical Therapy
- Respiratory Therapy
- Social Services
- Radiology
- Phlebotomy
- IV Teams
- Transportation Services
- Interpretation Services
- Rapid Response Teams
- Unit Secretaries
Additional Preferred Experience
Candidates with experience working with the following are highly valued:
- HMOs and IPAs
- Skilled Nursing Facilities (SNFs)
- Durable Medical Equipment (DME) Vendors
- Community Resources
- Post-Acute Care Coordination
- Ambulance Transportation Arrangements
Documentation & Technology
Required
- Epic EMR
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About Prime Staffing
At Prime Staffing, we understand the importance of finding the perfect fit for both our clients and candidates. Prime Staffing utilizes a unique matchmaking approach, providing the most qualified contingent staffing to our clients, and the most competitive contracts to our workforce. Our experienced team takes the time to get to know both our clients and candidates, their needs, and preferences, to ensure that each placement is a success.
We offer a wide range of staffing services including temporary, temp-to-perm, and direct hire placements. Our extensive network of qualified candidates includes nurses, allied healthcare professionals, corporate support professionals and executives.
Numbers & Facts
| Location | Santa Rosa, CA |
| Industry | All |
| Company Size | 100 to 499 employees |
| Website | http://www.primestaffingnyc.com/ |
About Company
Prime Staffing is one of New York's leading staffing firms specializing in temporary and full-time/permanent placements across multiple industries including; healthcare, business, consulting, finance, legal services, entertainment, media, information Technology(IT) and retail.
Prime Staffing is certified by The Joint Commission for its compliance, and integrity, in supplying superior healthcare staffing services to many of the finest healthcare organizations in the country. In addition to its impeccable reputation for providing travel and per diem health care staffing, Prime has become an integral partner in staffing some of the most prestigious business organizations and Fortune 500 companies in the country including multi-national bank and investment firms, international business consulting firms, global law firms and some of the most prominent media and entertainment outlets.
Prime's success and rapid growth is direct result if its most basic founding principle-provide our clients with the most experienced and qualified employees and, likewise, provide our employees with the best jobs at the top organizations in their respective professional disciplines.
Prime Staffing is a high-energy company with a corporate culture that embraces innovation, new technology and personalized customer service. We are confident in our ability to serve you professionally by placing esteemed and experienced individuals. Our continuous expansions enables us to adapt to the continuously changing needs of our clients and employees. Through our team of seasoned professionals we maintain respect, integrity and superiority in all aspects of our business.
At Prime, we work diligently to recognize your objectives and create programs to meet them. We believe that ardent customer service is an essential component to remaining at the forefront of a competitive marketplace. Prime utilizes its expertise, and decades of combined experience in the industry, to continuously improve, implement cutting-edge programs and maintaining our position in the market as one of the fastest growing firms in the Tri-State area.
It is our goal to build long-term relationships with clients and employees based on a foundation of trust, mutual respect and our expertise in the field of staffing. We guarantee dependability, consistency and security in all aspects of operation. Prime Staffing is the Superior Staffing Solution.