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Part Time Rn Case Review Jobs in California (NOW HIRING)

Delta-T Group Inc

RN Case Manager

Fresno, CA · On-site

... Part time hours available for supplemental income. CLIENT'S QUALIFICATION & REQUIREMENTS: *CA RN ... Title: RN Case Manager Class: Type: TEMPORARY Ref. No.: 1253368-64 BC: #DTG111 Company: Delta-T ...

Delta-T Group Inc

RN Case Manager

Calexico, CA · On-site

... availability. Part time hours available for supplemental income. CLIENT'S QUALIFICATION ... Title: RN Case Manager Class: Type: TEMPORARY Ref. No.: 1253714-64 BC: #DTG111 Company: Delta-T ...

Delta-T Group Inc

RN Case Manager

Chico, CA · On-site

... availability. Part time hours available for supplemental income. CLIENT'S QUALIFICATION ... Title: RN Case Manager Class: Type: TEMPORARY Ref. No.: 1253712-63 BC: #DTG111 Company: Delta-T ...

Delta-T Group Inc

RN Case Manager

Redding, CA · On-site

... availability. Part time hours available for supplemental income. CLIENT'S QUALIFICATION ... Title: RN Case Manager Class: Nursing Type: TEMPORARY Ref. No.: 1237942-108 BC: #DTG111 Company:

Trinity Health

$35.89 - $62.91/hr

Day Shift Description: Part Time Inpatient RN Case Manager CARE COORDINATION : The Inpatient RN Care Manager works with the multidisciplinary team including physicians, staff, and payers to ensure ...

Trinityhealth

$35.89 - $62.91/hr

Day Shift Description: Part Time Inpatient RN Case Manager CARE COORDINATION : The Inpatient RN Care Manager works with the multidisciplinary team including physicians, staff, and payers to ensure ...

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All JobsRn Case Review JobsPart Time Rn Case Review JobsPart Time Rn Case Review Jobs in California

Part Time Rn Case Review information

What is the difference between Part Time Rn Case Review vs Part Time Rn Utilization Review?

AspectPart Time Rn Case ReviewPart Time Rn Utilization Review
CredentialsRegistered Nurse (RN) licenseRegistered Nurse (RN) license
Work EnvironmentHospitals, clinics, insurance companiesInsurance companies, healthcare organizations
Job FocusReview patient cases for appropriateness of careAssess medical necessity and insurance coverage
Common UsageCase review, patient care evaluationUtilization management, insurance review

Both roles require RN licensure and involve reviewing healthcare cases. However, Part Time Rn Case Review primarily focuses on evaluating patient cases for quality of care, while Part Time Rn Utilization Review emphasizes assessing medical necessity for insurance purposes. Understanding these distinctions helps professionals choose the role that best fits their skills and career goals.

What are the most commonly searched types of Rn Case Review jobs in California? The most popular types of Rn Case Review jobs in California are:
What cities in California are hiring for Part Time Rn Case Review jobs? Cities in California with the most Part Time Rn Case Review job openings:
Part Time Rn Case Review jobs near you
Registered Nurse I - Case Manager (Part-time)

Registered Nurse I - Case Manager (Part-time)

HCP Talent

Palm Springs, CA

$45 - $58/hr

Part-time

Re-posted 21 days ago

Job description

Registered Nurse I - Case Manager

Employment Type: Part-Time

Location: Palm Springs, CA

Compensation: $45 – $58 per hour


Our client is seeking a dedicated RN Case Manager to concurrently monitor and review member utilization for medical appropriateness. In this role, you will recommend alternative levels of care, proactively identify potential barriers or service delays, and facilitate comprehensive discharge planning activities to optimize patient outcomes.


Responsibilities:

  • Perform initial inpatient admission medical necessity reviews and ongoing concurrent utilization screenings for in-network hospitalized patients using industry-standard criteria.
  • Communicate frequently with hospitalists and specialty providers to clarify levels of care, solidify treatment plans, facilitate timely consultations, and resolve obstacles to a safe discharge.
  • Anticipate and identify avoidable delays in physician decision-making or hospital processes. Initiate immediate corrective actions, escalations to the Medical Director when necessary, and document process issues to mitigate financial liability.
  • Accomplish discharge screenings on all admissions, anticipate patient needs, and coordinate timely, safe discharges or SNF transfers. Ensure all required DME and Home Health needs are fully met.
  • Maintain and update the Daily Hospital Log with real-time changes in patient status, level of care, procedures, and dispositions. Issue timely regulatory denial notifications when required.
  • Maintain the highest level of professional decorum by using formal, respectful language, avoiding medical jargon, and ensuring patient and family questions are fully addressed.

Requirements:

  • Current California RN License, or Board Eligible with a clear plan for obtaining licensure within a specified timeframe.
  • At least 2 years of recent acute care hospital nursing experience, including telemetry, chart review, and analysis.
  • Extensive understanding of diagnostic/invasive procedures with the ability to anticipate care plan changes; familiarity with Level of Care, Intensity of Service, Severity of Illness, and SNF/Home Health criteria.
  • Proven ability to communicate professionally and interface assertively with physicians and multidisciplinary teams.
  • Valid California driver’s license with proof of insurance required. BLS required within 60 days of hire only for roles involving direct patient care

Physical Demands & Work Environment:

  • Active hospital role requiring a mix of walking (45%), standing (25%), and sitting (30%).
  • Occasional lifting up to 40 lbs.
  • Highly technical environment requiring the ability to utilize computers, keyboards, and monitors for more than 7 hours per day.