RN Case Management Hyannis, MA
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Job Location:
Barnstable, MA - USA
Monthly Salary:
$ 55 - 60
Posted on:
19 hours ago
Vacancies:
1 Vacancy
Job Summary
Position Title:RN Case Management
Location: Hyannis MA 02601
Job Type: Contract
Shift: Day 58.5s
Local Pay Range: $55$60/hr
Position Summary
Navitas Healthcare LLC is seeking an experienced RN Case Manager to coordinate patient care manage utilization review and support safe timely discharge planning. Works closely with the interdisciplinary team to ensure appropriate level of care accurate documentation and effective communication with payers while meeting regulatory and quality standards.
Responsibilities
Screen new admissions and identify discharge planning needs.
Verify demographics/insurance and complete InterQual assessments.
Review admission appropriateness and ongoing level of care.
Manage HINNs appeals and payer communication.
Address psychosocial financial and legal barriers; make referrals.
Conduct utilization review and respond to payer clinical requests.
Collaborate with physicians and teams to ensure aligned care plans.
Coordinate safe discharges and facility transfers.
Monitor length of stay and escalate as needed.
Support denial prevention and accurate reimbursement.
Maintain compliance with policies safety and regulatory standards.
Qualifications
3 years recent acute care experience; case management preferred.
InterQual or similar UM experience required.
Recent discharge planning & utilization review experience (within 4 years).
Active MA RN license; BSN preferred.
Strong communication organization and critical thinking skills.
For more details contact at or Call / Text at .
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.
Key Skills
- Project Portfolio Management
- Motivational Interviewing
- HIPAA
- Computer Skills
- Intake Experience
- Lean Six Sigma
- Conflict Management
- Case Management
- Team Management
- Program Development
- Social Work
- Addiction Counseling
