Registered Nurse (RN) - Case Management - 26-03576
Job Title: Registered Nurse (RN) – Case Management
Location: Hyannis, MA
Duration: 13 Weeks
Schedule: 4x10 Hour Shifts (40 hours/week)
Shift Options: 7:30 AM – 6:00 PM or 8:00 AM – 6:30 PM
Position Overview
"Navitas Healthcare, LLC" is seeking an experienced Registered Nurse (RN) – Case Manager to coordinate and facilitate patient care across the continuum. This role focuses on discharge planning, utilization review, and collaboration with interdisciplinary teams to ensure high-quality, cost-effective patient outcomes.
Key Responsibilities
- Conduct daily screening of new admissions for discharge planning needs
- Develop and implement individualized care and discharge plans
- Perform initial assessments within one business day and reassess patients as needed
- Review appropriateness of admissions and level of care using InterQual® criteria
- Coordinate with physicians, care teams, and third-party payers
- Facilitate timely utilization review and ensure proper reimbursement processes
- Identify high-risk patients and coordinate appropriate resources and referrals
- Participate in daily rounds and interdisciplinary care planning
- Educate patients and families regarding care plans and insurance-related matters
- Support safe transitions of care to post-acute facilities or home services
- Maintain accurate documentation and comply with regulatory standards
Required Qualifications
- Active RN license (Massachusetts)
- Minimum 3 years of acute care experience within the last 5 years
- Recent experience in discharge planning and utilization review
- Working knowledge of InterQual® or equivalent system
- Strong communication, organizational, and time management skills
- Ability to work independently in a fast-paced environment
Preferred Qualifications
- Bachelor of Science in Nursing (BSN)
- Case Management Certification (CCM, CPUM, or equivalent)
- Experience with interdisciplinary care coordination
Must-Have Skills
- Acute Care Experience
- InterQual® Utilization Review
For more details contact at [email protected]
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.
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