Responsibilities include admission criteria review, benefits eligibility, care coordination, discharge planning, disease management, needs assessment and DME ordering, plan of care development, prior authorizations, and regulatory compliance (CMS, Department of Health, DRG, Joint Commission/Core Measures/National Safety Goals). American Traveler is seeking an experienced RN Case Manager for an acute care hospital setting, requiring 2 years of acute care case management/discharge planning experience and a CA RN license.