A Travel Nurse RN specializing in Case Management is responsible for coordinating patient care and obtaining medical authorizations from payors, working primarily with utilization review and discharge planning. This role requires 3-4 years of experience, proficiency with Medicare, PPO, and other insurance plans, and involves administrative duties rather than bedside care. The position is a 13-week travel assignment based in Los Angeles, requiring a California RN license and a BSN degree.
MediPro is seeking a travel nurse RN Case Management for a travel nursing job in Los Angeles, California.
Job Description & Requirements RN Case Manager
Shift: 08:00-16:30 (5x8s)
Weekend Requirement: no
On-call- no
Years of experience REQ: 3- 4 years Recent experience in case management, utilization management, or discharge planning.
This role requires working off Work Queues and does not provide bedside/patient care. The primary role is obtaining authorizations with payors.
This job requires the RN to be proficient with UR, payor mix, Medicare, PPO, IPA plans, delegated, full and shared risks in following up authorization based on medical necessity from admission through discharge and post dc.
Certification Requirements: BLS required, CCM Preferred
State License- CA RN, BSN Required
First time travelers accepted yes if they have the required experience
Charting- Epic Preferred
MediPro Job ID #292-2999058. Pay package is based on 8 hour shifts and 40 hours per week (subject to confirmation) with tax-free stipend amount to be determined.
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MediPro is a leading healthcare talent firm that provides top tier clinicians to medical facilities and practices nationwide. We focus on Travel Nursing, Advanced Practice, Allied Services, Surgical Services, and Case Management.
MediPro focuses on custom solutions based on each client's unique needs ranging across per diem, master-booking, travel assignments, perm placement and temp-to-perm.
travel nurse, RN case management, utilization review, discharge planning, medical authorization, payor mix, Medicare, PPO, healthcare travel jobs, Epic charting