Registered Nurse (RN) - Case Manager - RNCM#002

Job Title: Registered Nurse (RN) – Case Manager

Location: Hyannis, MA 02601

Job Type: Contract

Schedule

• Day Shift
• 4 × 10-hour shifts
• Shift Options: 7:30 AM – 6:00 PM or 8:00 AM – 6:30 PM
• Every other weekend and holiday required

Job Overview

The RN Case Manager is responsible for coordinating and facilitating patient care throughout the hospital stay, ensuring quality and cost-effective outcomes. This role includes discharge planning, utilization review, and collaboration with interdisciplinary teams to optimize patient care and resource utilization.

Key Responsibilities

• Assess patient needs and develop individualized care and discharge plans
• Perform daily admission reviews and identify discharge planning requirements
• Conduct utilization reviews using InterQual or equivalent criteria
• Collaborate with physicians, nurses, and interdisciplinary teams
• Coordinate with insurance providers for authorization and reimbursement
• Monitor patient progress and update care plans as needed
• Educate patients and families on care plans and discharge processes
• Identify high-risk patients and coordinate appropriate support services
• Participate in care rounds and case conferences
• Maintain accurate documentation and ensure compliance with policies

Qualifications

Education

• Bachelor of Science in Nursing (BSN) preferred

Licensure and Certification

• Active Massachusetts RN License (required)
• Case Management Certification (preferred)

Experience and Requirements

• Minimum 3 years of acute care experience within the last 5 years
• Experience in discharge planning and utilization review
• Working knowledge of InterQual or equivalent system (required)
• Strong understanding of healthcare regulations and payer requirements
• Ability to work independently in a fast-paced environment

For more details contact at [email protected] or Call / Text at 516-862-1169.

About Navitas Healthcare, LLC certified WBENC and one of the fastest-growing healthcare staffing firms in the US providing Medical, Clinical and Non-Clinical services to numerous hospitals. We offer the most competitive pay for every position we cater. We understand this is a partnership. You will not be blindsided and your salary will be discussed upfront.