Case Manager RN

Start date: ASAP Floating Expectation: No First Time Traveler: Yes but 1st time travelers must be screened Ratios: Days 1:20 Years of experience 2 years acute care case management/discharge planning Weekend REQ: Every other weekend. Must be available for holidays CA state license: Yes Pending License accepted: Yes, but must be licensed upon start date RTO Restrictions: No more than 7 days

Hospital Highlights Type of Facility: Acute Care Facility Scrub Color: Business Attire or Scrubs

Modified Time:4/27/2026 12:00:00 AM

Account Manager: Jordan Hinojos

Account Manager Email: Jordan.Hinojos@ayahealthcare.com

COVID-19 Vaccine: Not Required

Flu Vaccine: Unknown Submittals:High
Job Requirements & Qualifications Previous Charge Experience : - Years of Experience : 2 Patient Ratio Experience : Charting System Experience : Required Charting System Name : Epic Community Hospital Experience : - LTAC Experience : - Trauma Level I Experience : - Trauma Level II Experience : - Travel Experience Required : Yes Certifications : Skills : Acute Hospital, Admission Criteria, Admission Criteria*, Appeals and Denials*, Behavioral Health*, Behavioral Health*, Benefits Eligibility*, Care coordination, CMS: Centers for Medicare and Medicaid Services, Determine Medical Necessity per Evidence-Based Guidelines*, Discharge Planning, Disease management, DRG (Diagnosis Related Groups), Emergency Department*, HIPAA guidelines (Health Insurance Portability and Accountability Act), Home Health*, Hospice*, ICU*, Insurance Company*, Long Term Acute Care/Rehab/Skilled Nursing*, Medical Necessity, MS*, Needs Assessment/ Order DME, NICU*, Pediatrics*, PICU*, Plan of Care*, Prior Authorizations*, SDU/PCU/IMC/Obs*, Surgical Services*, Utilize InterQual Criteria*, Utilize InterQual Criteria*, Women s Services*, Worker s comp case management*, Workers Compensation*
Unit Details Staffing & Scheduling Scheduling Type : Other Patient Ratios Days : 20 Patient Ratios Nights : - Patient Ratios Weekends : - Float Required : - Call Required : - Weekend Coverage : True Number of Weekend Shifts Per Contract : Every other weekend. Must be available for holidays Pre-Approved Time Off : one Orientation Hours : 40 Facility & Patient Care Details Patient Age Groups : Neonates, Adolescents, Infants, Adults, Pediatrics, Geriatrics Daily Census : Case Load up to 25 Number of Visits Per Day : - Number of Rooms : - Number of Beds : - Additional Unit Information Interdisciplinary Support : IV Teams, Physical Therapy, Respiratory Services, Interpretation Services, Phlebotomy, Radiology, Social Services, Rapid Response Teams, Pharmacy, Transportation, Unit Secretary Patient Diagnoses : AIDA, PASRR

Interqual experience is highly preferred

Acute Behavioral health experience does not meet acute hospital requirements Special Procedures/Unit Details : Admission Criteria (InterQual) (ED, Mother Baby and NICU) Competent InterQual guidelines highly preferred. Experience with Assessing patients, Care Coordination, and Discharge Planning Knowledge of adoption/foster care, drug/alcohol abuse treatment options, patients experiencing homelessness, patients with mental health history or in crisis, advance directive, POLST, protective services process, etc. Ability to organize and participate in family meetings. Participate in the development of the treatment plan. Experience with HMOs, IPAs, Medicare, MediCAL, etc. Competent with arranging DME, SNF and ambulance transport. Must be able to perform this task independently.

Special Equipment : Computerized documentation, is required. 2-year acute medical Care Manager experience performing Care Coordination and Admission Reviews knowledgeable in Medicare guidelines Weekend rotation

• Will be required to watch up to 2 units on the weekend and focus on discharge planning

#Tier3 Travel Compliance

We must have these three things before your traveler can be reviewed by our clinical team so please submit with this information included:

What is their upcoming interview availability?.

Please confirm the DOB and full SSN is correct in Connect.

Skills Checklist found in documents must be completed and sent with submission.

RTO:

Aya Offer: 7 days RTO

Client offer: 7 days RTO

*Anything more will potentially delay your offer while we run approval by the client.
To minimize turn around please limit total RTO requests

Must commit to working 3 of the 5 holidays (Thanksgiving, Xmas Eve, Xmas Day, NYE, NYD)

REFERENCES - Minimum of 2 supervisory references covering 1 year (6 months for CNA s) of employment total
within the last three years within a comparable specialty/setting that they are booked. This can include Charge RNs / Leads.

Local radius: 50 miles

Local rule: accepted at lower BR, please reach out to AM for local rate

***** ALL travelers are expected to float between all facilities within a given state. travelers' refusal to float may result in termination of assignment and/or forfeiture of guaranteed hours.*****

If required for the assignment, Client agrees to supply Providers with communication devices (i.e. cell phone, pager, etc.) needed to perform the duties as assigned at no cost to Provider or Agency. If Client does not provide a mobile phone required for the assignment, Client agrees to pay Agency monthly, for all work-related cell phone use by each Provider, up to a maximum amount of $50.00 as invoiced by Agency. Providers will be responsible for submitting monthly cell phone bill directly to Agency.

Any travelers within a 50 mile radius from the specific facility will be considered (see local rates); but there is some flexibility with this on a case-by-case basis.

Modules:

Modules are non-billable, average 16 hours spent. Over 20 hours requires PM approval

Modules are completed pre-start, and annually

Time spent on modules is self-reported, completion is recorded in Workramp transcripts

Submittal Details: #Tier3 Travel ComplianceWe must have these three things before your traveler can be reviewed by our clinical team so please submit with this information included:What is their upcoming interview availability?.Please confirm the DOB and full SSN is correct in Connect.Skills Checklist found in documents must be completed and sent with submission.RTO:Aya Offer: 7 days RTOClient offer: 7 days RTO*Anything more will potentially delay your offer while we run approval by the client.  To minimize turn around please limit total RTO requestsMust commit to working 3 of the 5 holidays (Thanksgiving, Xmas Eve, Xmas Day, NYE, NYD)REFERENCES - Minimum of 2 supervisory references covering 1 year (6 months for CNA s) of employment total within the last three years within a comparable specialty/setting that they are booked. This can include Charge RNs / Leads.Local radius: 50 milesLocal rule: accepted at lower BR, please reach out to AM for local rate***** ALL travelers are expected to float between all facilities within a given state. travelers' refusal to float may result in termination of assignment and/or forfeiture of guaranteed hours.*****If required for the assignment, Client agrees to supply Providers with communication devices (i.e. cell phone, pager, etc.) needed to perform the duties as assigned at no cost to Provider or Agency. If Client does not provide a mobile phone required for the assignment, Client agrees to pay Agency monthly, for all work-related cell phone use by each Provider, up to a maximum amount of $50.00 as invoiced by Agency. Providers will be responsible for submitting monthly cell phone bill directly to Agency.Any travelers within a 50 mile radius from the specific facility will be considered (see local rates); but there is some flexibility with this on a case-by-case basis.Modules:Modules are non-billable, average 16 hours spent. Over 20 hours requires PM approvalModules are completed pre-start, and annuallyTime spent on modules is self-reported, completion is recorded in Workramp transcripts