We are seeking a skilled and experienced Registered Nurse (RN) – Case Manager, Clinical Resource to join a dynamic healthcare team in a contract role. The ideal candidate will have a strong background in acute care case management, with experience in compliance monitoring, staff education, and interdisciplinary care coordination.
Supervise daily operations and performance of case management and social work staff
Support scheduling, staff evaluations, and issue resolution
Assist in managing the Clinical Documentation team when required
Conduct unit-based rounds to support timely and safe patient discharges
Develop and deliver continuing education programs related to case management best practices and regulatory compliance
Lead onboarding and training efforts for new hires, case managers, and interdisciplinary teams
Track and report on program compliance using dashboards and performance metrics
Implement process improvements based on performance and compliance trends
Foster collaborative workflows among providers, case managers, nurses, and allied health professionals
Evaluate and interpret departmental data to improve clinical and operational outcomes
Remain current with CMS regulations and case management documentation standards
Bachelor’s degree in Nursing (BSN) – Required
Active and unencumbered RN license in Massachusetts – Required
Basic Life Support (BLS) Certification – Required
Minimum 5 years of acute care case management experience
At least 2 years in process improvement or quality initiatives
Experience in professional education development and facilitation
Deep understanding of CMS regulations and utilization review practices
Proficiency with Windows-based software and electronic health records
Strong organizational, communication, and analytical skills