Registered Nurse (RN) - Case Manager (Emergency Department) - 26-02575

Job Title: Registered Nurse (RN) – Case Manager (Emergency Department)

Location: Hyannis, Massachusetts

Work Setting: Acute Care Hospital (Emergency Department)

Job Type: Contract (13 Weeks, Extension Possible)

Compensation

• Weekly Pay: $2,800 – $3,150 (based on experience)

Schedule & Work Hours

• 40 hours per week
• 4 shifts per week (10.5-hour shifts)
• Shift options:
  • 11:30 AM – 10:00 PM
  • Late shift rotation (including evenings/weekends)
• Rotating schedule including weekends

Job Summary

We are seeking an experienced RN Case Manager to support care coordination within the Emergency Department . This role focuses on discharge planning, utilization review, and ensuring patients receive the appropriate level of care while optimizing healthcare resources.

Key Responsibilities

• Assess patients for discharge planning and ongoing care needs
• Coordinate care with physicians, nurses, and interdisciplinary teams
• Perform utilization review using tools such as InterQual®
• Ensure appropriate level of care (inpatient vs. observation status)
• Facilitate insurance authorization and reimbursement processes
• Coordinate patient discharges, transfers, and follow-up services
• Advocate for patients and communicate effectively with families
• Identify high-risk patients and connect them with appropriate resources
• Participate in care rounds and maintain accurate documentation

Required Qualifications (Non-Negotiable)

• Active Registered Nurse (RN) license – Massachusetts
• Minimum 3 years of acute care hospital experience
• Experience in case management, discharge planning, or utilization review
• Knowledge of InterQual® or similar utilization review systems
• Strong communication, organizational, and multitasking skills

Preferred Qualifications

• BSN (Bachelor of Science in Nursing)
• Case Management Certification (CCM or equivalent)
• Prior experience in Emergency Department case management

For more details reach at [email protected] or Call / Text at 516-587-6677 .