Job Description
MediPro is seeking a travel nurse RN Case Management for a travel nursing job in Santa Barbara, California.
Job Description & Requirements
- Specialty: Case Management
- Discipline: RN
- Start Date: 05/04/2026
- Duration: 13 weeks
- 40 hours per week
- Shift: 8 hours
- Employment Type: Travel
NO 1ST TIMERS!
ASAP START
Utilization Management Case Manager
Responsible for the utilization management, quality assurance, and discharge planning activities for assigned services/areas/patients. Case management activities will result in quality outcomes, optimal care/cost management of services and/or procedures, a high level of customer satisfaction and contribution to an overall value-oriented experience of stakeholders and persons served.
Average Daily Census: 30
Visits/Day: 18
Rooms: 30
Beds: 32
Patient Age Group: Adults
Call req: No
Float req: Yes, this is required and MUST be willing to float
Scheduling type: Block
Shift: Shift: 5x8, 0730-1600; The shift is Monday through Friday with weekends off)
Documentation System: EPIC
Acute Hospital Setting
Long Term Acute Care/Rehab/Skilled Nursing
LEVEL OF EDUCATION
Minimum: Associate's Degree in Nursing (ADN)
Preferred: Bachelor's Degree in Nursing (BSN)
CERTIFICATIONS, LICENSES, REGISTRATIONS
Minimum: Current California Nursing license in good standing (required as of June 2006) & BLS
Preferred: Certification in Case Management
YEARS OF RELATED WORK EXPERIENCE
Minimum: 2 years direct patient care experience in an acute care setting. Other patient care
experience may be considered.
Preferred: Previous experience as a case manager in an acute care setting.
KNOWLEDGE, SKILLS, and ABILITIES
All knowledge, skills, and abilities listed indicate the minimum level deemed necessary to
perform this job proficiently.
PROBLEM SOLVING AND DECISION MAKING
Excellent organizational and analytical skills required. Able to make independent decisions and
utilize effective problem solving models and methods. Able to understand and leverage all
continuum of care options
INTERPERSONAL SKILLS
Develops, maintains, and models professional, objective, and value-oriented interpersonal
skills, continuously promoting and fostering productive relationships. Maintain at all times
positive and proactive communication with peers, supervisors, and other stakeholders to the
department. Proactively seeks and fosters team-building relationships.
For this role, we need someone actively functioning as an RNCM, with hands-on experience in inpt care coordination. discharge planning, and post-acute clinical payer authorization.
COMMUNICATION SKILLS
The employee communicates effectively.
Continuously demonstrates clear, objective, and professional communication at all times.
Actively pursues and ensures both appropriate oral and written communication regarding case
management functions, activities, and responsibilities.
Case Management/Utilization Review
Admission Criteria Required
Care coordination Required
Discharge Planning Required
Utilize InterQual Criteria Required
Utilize Milliman Guidelines Required
Utilization Review
Admission Criteria Required
Appeals and Denials Required
Concurrent Review Required
Continued Stay Reviews Required
Medical Necessity Required
Retrospective Review Required
Utilize InterQual Criteria Required
Utilize Milliman Guidelines Required
REGULATORY
CMS: Centers for Medicare and Medicaid Services Required
CPT (Current Procedural Terminology) coding and billing Required
Department of Health Required
DRG (Diagnosis Related Groups) Required
HEDIS (The Healthcare Effectiveness Data and Information Set) Measures Required
HIPAA (The Health Insurance Portability and Accountability Act) Required
ICD 10 Coding Required
NCQA (National Committee for Quality Assurance) Required
OSHA: Occupational Safety and Health Administration Required
The Joint Commission/ Core Measure/National Safety Goals Required
Worker’s Compensation Required
MediPro Job ID #292-3240686. Pay package is based on 8 hour shifts and 40 hours per week (subject to confirmation) with tax-free stipend amount to be determined.
About MediPro It's time someone took care of you. Get concierge level service and access our database of hot jobs you'll absolutely love! We are here to take care of you! TravelPer DiemPermanent PlacementLocum Local
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.