Registered Nurse - Case Manager - RNCM25-31419

Job Title: Travel Registered Nurse – Case Manager
Location: Hyannis, MA
Pay: $2,761/week
Shift: Rotating Days, 8:00 AM – 4:30 PM
Schedule: Every other weekend, rotating holidays

Position Overview:

Navitas Healthcare, LLC is seeking Registered Nurse – Case Manager for an exciting Travel or Local job in Hyannis, MA.

Key Responsibilities:

• Screen new admissions daily to assess discharge planning needs and prioritize visits
• Verify and update patient demographics and insurance information
• Complete initial and ongoing assessments using clinical guidelines and utilization criteria
• Evaluate appropriateness of admission and level of care; initiate discharge notices and appeals as necessary
• Identify patients with complex psychosocial or legal needs and coordinate appropriate support services
• Facilitate timely utilization review and collaborate with third-party payers
• Work closely with physicians and interdisciplinary teams to develop and implement care and discharge plans
• Advocate for patient needs, especially concerning insurance coverage and care decisions
• Maintain accurate documentation in compliance with regulatory and organizational standards
• Participate in care conferences and quality assurance initiatives

Qualifications:

• Minimum of 3 years recent experience in acute care clinical or case management (within the past 5 years)
• Proficient in the use of clinical decision-support tools such as InterQual® or similar systems
• Recent discharge planning and utilization review experience (within the last 4 years)
• Active Registered Nurse (RN) license in the state of Massachusetts
• Bachelor of Science in Nursing (BSN) preferred
• Certification in Case Management (e.g., CCM, CPUM) preferred
• Strong communication, interpersonal, and negotiation skills
• Ability to work independently and manage multiple priorities in a fast-paced environment
• Proficient in computer applications and electronic documentation systems

For more details contact at hdavda@navitashealth.com or Call / Text at 516-862-1169.

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.