Travel Registered Nurse – Case Management - TRNCM25-24827

Job Title: Travel Registered Nurse (RN) – Case Management
Location: Hyannis, MA
Department: Case Management
Shift: 8:00 AM – 4:30 PM | 40 hours/week
Schedule: Every other weekend | Rotating holidays
Pay Rate: $80.03/hour | $3,201/week

Position Summary:

We are seeking an experienced and detail-oriented Travel RN – Case Manager to support care coordination and utilization review in an acute care setting. The ideal candidate will demonstrate strong clinical knowledge, exceptional communication skills, and a deep understanding of discharge planning and payer guidelines. This is a travel contract position located in Hyannis, Massachusetts.

Key Responsibilities:

• Conduct daily discharge planning screens and establish case prioritization

• Complete InterQual® Initial Assessments within one business day and perform reassessments every three days or as clinically indicated

• Determine appropriate level of care (Inpatient vs. Observation)

• Issue HINN notices, facilitate appeal processes, and manage reinstatement letters

• Perform utilization reviews and liaise with third-party payers

• Coordinate discharge and care plans in collaboration with interdisciplinary teams

• Advocate for patients during payer communications and discharge planning

• Participate in daily unit rounds, family meetings, and care conferences

• Facilitate safe discharge transitions, referrals, and community resource linkage

• Utilize and update Care Maps or clinical pathways to guide care

• Identify delays in treatment and collaborate to reduce length of stay

• Assist coding and documentation teams with clarifying clinical information

• Maintain current knowledge of regulatory policies and community resources

Required Qualifications:

• Current RN license in the Commonwealth of Massachusetts

• Minimum 3 years of acute care experience within the past 5 years in a hospital setting

• Recent experience (within the past 4 years) in Discharge Planning and Utilization Review

• Strong understanding of InterQual® or equivalent criteria system

• Broad clinical background

Preferred Qualifications:

• Bachelor of Science in Nursing (BSN) preferred (required for external applicants)

• Certification in Case Management, CPUM, or a specialty clinical area