Case Management RN - CMNM#01
Position Title: Case Management RN
Location: Hyannis, MA 02601
Job Type: Contract
Shift: Day | 5×8.5s
Local Pay Range: $60–$65/hr
Position Summary
"Navitas Healthcare, LLC" is seeking Case Management RN for an exciting job in Hyannis, MA.
Responsibilities
Complete daily admission screenings and timely initial assessments.
Verify payer/demographic information and ensure level-of-care appropriateness.
Perform utilization review, respond to payer requests, and initiate HINN notices or appeals as needed.
Develop and update plans of care; identify barriers and coordinate referrals.
Collaborate with providers to align care needs, discharge planning, and covered services.
Ensure accurate documentation and support reimbursement processes.
Participate in rounds, care conferences, and quality initiatives.
Maintain compliance with policies, regulations, safety, and infection control standards.
Qualifications
3+ years recent acute care experience; case management or broad clinical background.
Knowledge of InterQual® or equivalent criteria.
Recent experience in discharge planning and utilization review.
Active MA RN license; BSN and CCM/CPUM certification preferred.
Strong communication, critical thinking, and organizational skills.
Proficient in EMR and computer systems; able to work independently and collaboratively.
For more details contact at [email protected] or Call / Text at 516-806-4227 .
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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