Registered Nurse (RN) – Case Management 26-03576
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Job Location:
Barnstable, MA - USA
Monthly Salary:
Not Disclosed
Posted on:
8 days ago
Vacancies:
1 Vacancy
Job Summary
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
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.
Required Experience:
IC
