RN Case Manager - Acute Care (Travel) - CCMA Job at NavitsPartners, Revere, MA

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  • NavitsPartners
  • Revere, MA

Job Description

Job Title: RN Case Manager – Acute Care (Travel)

Location: Hyannis, MA

Contract Length: 13 Weeks

Schedule: Mon–Fri, 8:00 AM to 4:30 PM

Compensation: $2,762–$2,890/week

Role Summary:

Join a dynamic care coordination team as a Travel RN Case Manager. This role focuses on assessing patient needs, optimizing utilization of services, and ensuring smooth care transitions for hospitalized patients.

Primary Responsibilities:

  • Screen and assess patients on admission for discharge and care planning
  • Use InterQual® to conduct utilization reviews within defined timelines
  • Collaborate with medical teams to support timely and appropriate discharges
  • Address payer requirements and communicate appeal status
  • Identify patients with high-risk needs and connect them to appropriate resources
  • Ensure timely response to insurance documentation needs
  • Guide discharge planning and coordination with external providers
  • Track patient progress during interdisciplinary team discussions
  • Monitor care quality and contribute to continuous improvement efforts
  • Educate patients and families on post-discharge care and follow-up
  • Stay current on regulations, quality standards, and hospital policies

Required Qualifications:

  • MA RN license in good standing
  • Bachelor’s degree in nursing preferred
  • Minimum 3 years in hospital or case management nursing
  • InterQual® or comparable experience essential
  • Knowledge of discharge protocols and payer guidelines
  • Strong documentation and EHR proficiency
  • Certified Case Manager (CCM) or related credential a plus

Job Tags

Contract work,

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