Embrace the Wine Country: RN Adventure Awaits!

JOB DESCRIPTION & REQUIREMENTS
Registered Nurse – Case Management- Case Manager - Travel - (CM RN)
StartDate: 1/27/2026 Available Shifts: 8 D Pay Rate: $2807.00 - $2981.00

Required Qualifications
-Inpatient Case Management experience
-Understanding what an AB1203 is and the law surrounding that
-General insurance understanding (What is generally NOT covered by insurance - Caregivers, cSNF stays [unless MediCal], Board & Care, ALF)
-What HH services are generally available (RN/PT/OT/ST/MSW/HHA)
-Medicare Compliance
+3 midnight rule
+Need to know and understand MOON / IM Letters
+Should understand Medicare appeal rights and the general process (IE: pt calls Commence, 3rd party review explanation, 3 day turn around, final determination, and resolution results) - we can show them the KP process, but the general process they should understand
-Understanding of different methods of transport (IE: BLS/ALS/CCT/Gurney Van/WC Van) and how they are selected for patients
-Understanding the need to identify CG/family available and transport at d/c
-Experience identifying Social Work vs PCC needs
-Experience with insurance coverage declination and having that difficult conversation with patients/families
-Gen understanding of criteria for HH and sSNF
-UM/UR experience with either IQ or Milliman, though IQ would be preferred

Preferred Qualifications
-Experience with Wellsky (AKA Allscripts / Care Port / Extended Care) for IQ, SNF referrals, HH referrals.
- Experience with VectorCare
-Experience working MS Teams (chats and channels)
-Experience arranging IV Abx at home
-Experience arranging Tube Feeds at home

ABOUT THE FACILITY
With a state-of-the-art, five-story addition newly opened in 2010, this high-tech, environmentally friendly medical center has almost 200 beds, is accredited by The Joint Commission for excellence in quality and safety of care, and is located just outside of one of the West Coast’s largest cities.

FACILITY LOCATION
Nestled in the center of the world-famous Sonoma wine country, just 55 miles north of San Francisco, Santa Rosa offers a unique blend of art and culture, food, wine and recreation. Explore the region’s many world-class wineries, take a hot air balloon ride over the stunning countryside, relax at a world-class spa or enjoy mouth-watering cuisine at one of the city’s numerous award-winning restaurants.

JOB BENEFITS
At AMN Healthcare we take care of our travelers! We offer:

* Competitive pay rates
* Free, quality, private housing
* Medical, Dental, Vision
* 401(k) and Flex Spending
* Life Insurance
* Accident and Short-term Disability Coverage
* Free Continuing Education
* Refer a friend and earn extra cash!

ABOUT THE COMPANY
At AMN Healthcare, we strive to be recognized as the most trusted, innovative, and influential force in helping healthcare organizations provide quality patient care that continually evolves to make healthcare more human, more effective, and more achievable.

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-Inpatient Case Management experience
-Understanding what an AB1203 is and the law surrounding that
-General insurance understanding (What is generally NOT covered by insurance - Caregivers, cSNF stays [unless MediCal], Board & Care, ALF)
-What HH services are generally available (RN/PT/OT/ST/MSW/HHA)
-Medicare Compliance
+3 midnight rule
+Need to know and understand MOON / IM Letters
+Should understand Medicare appeal rights and the general process (IE: pt calls Commence, 3rd party review explanation, 3 day turn around, final determination, and resolution results) - we can show them the KP process, but the general process they should understand
-Understanding of different methods of transport (IE: BLS/ALS/CCT/Gurney Van/WC Van) and how they are selected for patients
-Understanding the need to identify CG/family available and transport at d/c
-Experience identifying Social Work vs PCC needs
-Experience with insurance coverage declination and having that difficult conversation with patients/families
-Gen understanding of criteria for HH and sSNF
-UM/UR experience with either IQ or Milliman, though IQ would be preferred