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Registered Nurse (RN) - Case Manager

Providence Saint John's Health Center
1 day ago
On-site
Santa Monica, California, United States
**Title** Acute Care Case Manager – Utilization Management **Schedule** Weekend requirement: at least 2 weekends in a 4-week schedule. Holiday requirement: must commit to working 3 of the 5 holidays (Thanksgiving, Christmas Eve, Christmas Day, New Year’s Eve, New Year’s Day). **Assignment Details** Census: up to 20–22 patients; ratio 1:20. Travel experience: required. Return-to-office/availability requirement: 7 days. Pre-approved time off: one. **Requirements** - 2 years of acute care hospital inpatient Case Manager experience performing care coordination and admission reviews. - Must have current acute hospital experience (worked in role within the last 6 months). - Must hold a valid California nursing license (pending licenses accepted). - Knowledge of InterQual and Epic. - References: 2 references covering at least 1 year within the last 3 years (can include Charge RNs/Lead). **Roles & Responsibilities** - Perform care coordination and discharge planning for adult and geriatric patient populations. - Conduct admission reviews utilizing InterQual criteria. - Coordinate benefits eligibility and prior authorizations. - Collaborate with interdisciplinary teams, including Social Services. **Compliance / Notes** - Scrub/dress code: business casual with lab coat OR dark solid scrubs with lab coat. - LA fire card required within last 30 days (not reimbursed by facility/agency). - Must disclose any license/background hits upfront; no open license issues will be approved.