Local Contract Nurse RN - Case Management

Company: The Crox Group
Location: Santa Rosa
Posted on: June 24, 2025

Job Description:

Job Description The Crox Group is seeking a local contract nurse RN Case Management for a local contract nursing job in Santa Rosa, California. Job Description & Requirements - Specialty: Case Management - Discipline: RN - Duration: 12 weeks - 40 hours per week - Shift: 8 hours, days - Employment Type: Local Contract SKILLS: - 2-year acute Hospital Case Manager experience performing Care Coordination, Discharge Planning in a very fast paced environment - required - clinician must have current work history within 2 years. - Computerized documentation, required. - Ability to organize and participate in family meetings - Participate in the development of the treatment plan. - Experience with HMOs, IPAs, etc. - Competent with arranging DME, SNF and ambulance transport. Must be able to perform this task independently. - Ambulatory, Behavioral Health, Home Health, Hospice, Insurance Company, Long Term Acute Care/Rehab/Skilled Nursing experience PREFERRED - Acute Hospital Experience by Specialty like ER, ICU, NICU, Pedia, SDU/PCU/IMC PREFERRED - Experience with MS is required Case Management/Utilization Review Experience: - Prior Authorizations - required - Plan of Care - required - Needs Assessment/ Order DME - required - Discharge Planning - required - Care coordination - required - Benefits Eligibility - required - Admission Criteria - required - Needs Assessment/ Order DME - preferred - Plan of Care - preferred - Prior Authorizations - preferred Regulatory Experience: - CMS: Centers for Medicare and Medicaid Services - required - DRG (Diagnosis Related Groups). - required - HIPAA (The Health Insurance Portability and Accountability Act) - required - OSHA: Occupational Safety and Health Administration - required - The Joint Commission/ Core Measure/National Safety Goals - required - CPT (Current Procedural Terminology) coding and billing - preferred - Department of Health - preferred - ICD 10 Coding - preferred - NCQA (National Committee for Quality Assurance) - preferred - Worker’s Compensation - preferred Certifications: REQUIRED - BLS About The Crox Group A firm commitment towards bringing an impactful change in business domains enables us to explore and innovate continuously. In this endeavor, we have come up with strategic partnerships with three subsidiaries- Crox RPO, Crox Consulting, and Crox Technology that act as our technology vendors to offer our clients industry-centric services. Together, we offer RPO services, Staff Augmentation, Web Development, and Staffing Solutions to our clients all across the USA.

Keywords: The Crox Group, North Highlands , Local Contract Nurse RN - Case Management, Healthcare , Santa Rosa, California