Case Management RN (Emergency Department) - CMRNED 0318 IS#01

Job Title: Case Management RN (Emergency Department)

Location: Hyannis, MA 02601

Employment Type: Full-Time | Hourly (Non-Exempt)

Contract Duration: 13 Weeks

Start Date: ASAP

Schedule

• 40 hours per week

• Evening Shift: 4 × 10.5-hour shifts

• Rotating weekends and holidays required

Compensation

• Travelers: $65 – $70/hour

• Local Candidates: $59 – $64/hour

Position Overview

A healthcare facility in Hyannis, MA is seeking an experienced Case Management Registered Nurse (RN) to support the Emergency Department .

This role is responsible for coordinating and facilitating patient care to ensure high-quality, cost-effective outcomes , while supporting discharge planning, utilization review, and patient advocacy in a fast-paced acute care environment.

Key Responsibilities

• Conduct daily admission reviews and identify discharge planning needs

• Perform initial patient assessments within one business day using InterQual® or equivalent tools

• Complete reassessments every 3 days or as patient condition changes

• Evaluate level of care appropriateness (Inpatient vs Observation)

• Coordinate discharge planning and transitions of care

• Collaborate with physicians, nurses, and interdisciplinary teams

• Facilitate insurance authorization and reimbursement processes

• Respond to payer requests with timely and accurate documentation

• Identify high-risk patients and connect them with appropriate resources

• Participate in daily rounds and care conferences

• Support patient rights , including appeals and coverage discussions

• Ensure compliance with clinical guidelines, policies, and regulatory standards

• Maintain accurate and complete case management documentation

Required Qualifications

• Active Massachusetts RN License

• Minimum 3 years of acute care experience (within the last 5 years)

• Experience with:

  • Acute Care settings

  • Epic EMR system

  • InterQual® or equivalent utilization review tools

• Knowledge of discharge planning and utilization review processes

• 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 similar)

• Prior experience in Emergency Department case management

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

About Navitas Healthcare, LLC: It is a 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.