Position Details
Local Contract Nurse RN - Case Management Apply
Job Description
Apidel Technologies is seeking a local contract nurse RN Case Management for a local contract nursing job in Irvine, California.
Job Description & Requirements- Specialty: Case Management
- Discipline: RN
- Start Date: 04/21/2026
- Duration: 13 weeks
- 36 hours per week
- Shift: 12 hours, days
- Employment Type: Local Contract
Position Overview
The Registered Nurse – Case Manager is responsible for coordinating patient care across the continuum, ensuring appropriate utilization of healthcare services, and supporting optimal patient outcomes. This role involves utilization review, discharge planning, and compliance with regulatory standards within acute and post-acute care settings.
Key Responsibilities
Perform case management and utilization review to ensure medical necessity and appropriate level of care
Coordinate patient admissions, concurrent reviews, and continued stay reviews
Develop and implement discharge planning and care coordination strategies
Evaluate cases using InterQual and Milliman guidelines
Conduct retrospective reviews, appeals, and denial management
Collaborate with physicians, nurses, and interdisciplinary teams for patient care planning
Ensure compliance with CMS guidelines and regulatory requirements
Maintain accurate documentation aligned with HIPAA and healthcare standards
Monitor patient progress and adjust care plans accordingly
Required Skills & Qualifications
Active California Registered Nurse (RN) license (required at submission)
BLS certification (preferred)
Strong experience in case management and utilization review
Proficiency in:
Admission criteria & medical necessity review
Discharge planning and care coordination
Appeals, denials, and retrospective reviews
Hands-on experience with:
InterQual and Milliman guidelines
Concurrent and continued stay reviews
Knowledge of healthcare regulations and standards:
CMS, HIPAA, NCQA, HEDIS, OSHA, Joint Commission
ICD-10, CPT coding, DRG classification
Apidel Technologies Job ID #API1017.
About Apidel TechnologiesAt Apidel Technologies LLC, we specialize in delivering high-impact
healthcare staffing solutions that empower organizations to maintain
operational excellence and deliver exceptional patient care. With our
headquarters in Illinois and regional offices in New Jersey, California, and
Georgia, we offer both nationwide reach and local insight to support the
dynamic workforce needs of healthcare providers across the U.S.
We deliver unmatched expertise in placing top-tier healthcare
professionals, including Registered Nurses, Licensed Practical
Nurses/Licensed Vocational Nurses, Certified Nursing
Assistant/Certified Medical Assistant, and Nurse Practitioners, Medical
Laboratory Scientist, Phlebotomist, Histologists, across a diverse
spectrum of care settings such as hospitals, clinics, rehabilitation centers,
long-term care facilities, correctional institutions, and more. Our deep
talent network and sector-specific understanding position us as a valuable
partner to client platforms, enabling a scalable and seamless workforce
experience for healthcare employers and job seekers.
Since our founding in 2012, Apidel has earned the trust of Fortune 500
healthcare organizations, mid-sized providers, and government agencies
at the county and state levels. We provide end-to-end staffing services,
contingent workforce solutions, direct hire, temp-to-hire, and executive
search, designed to align with your clinical and operational objectives.
As a certified WBENC firm, we are committed to Diversity, Equity,
Inclusion & Belonging (DEI&B) and take a client-centric approach that
combines industry insight, agile delivery models, and culturally competent
staffing to help our clients thrive in today’s fast-evolving healthcare
- 401k retirement plan
- License and certification reimbursement
- Medical benefits
- Dental benefits
- Vision benefits
- Referral bonus
- Sick pay
