Case Management RN - CMR 26-02575

Job Title: Case Management RN

Location: Hyannis, MA 02601
Job Type: Contract (13 Weeks)

Compensation

• Traveler Pay: $2,800 – $3,100 per week (based on experience)
• Local Pay: $2400 – $2640 per Week (based on experience)

Schedule

• Shift: Evening Shift (Rotating Days, Weekends & Holidays)
• Hours: 40 hours/week
• Shift Timing: 11:30 AM – 10:00 PM or 12:00 PM – 10:30 PM
• Schedule Type: 4 x 10.5-hour shifts

Job Summary

The Case Management RN is responsible for coordinating and facilitating patient care, ensuring efficient, high-quality, and cost-effective outcomes. This role focuses on discharge planning, utilization review, and collaboration with interdisciplinary teams to support continuity of care and optimize patient outcomes.

Responsibilities

• Perform daily screening of new admissions for discharge planning needs
• Conduct initial patient assessments within one business day using appropriate criteria tools
• Reassess patients regularly based on clinical condition and care needs
• Evaluate appropriateness of admissions and level of care using established guidelines
• Coordinate discharge planning and ensure continuity of care across settings
• Facilitate utilization review and communicate with third-party payers
• Manage discharge appeals and initiate required notifications
• Collaborate with physicians and interdisciplinary teams on care planning
• Identify high-risk patients and coordinate appropriate referrals and services
• Participate in multidisciplinary rounds and care conferences
• Ensure accurate documentation and compliance with policies and regulations
• Support reimbursement processes and assist with medical necessity documentation
• Advocate for patients and families regarding care plans and insurance matters
• Coordinate safe and timely patient transfers to other facilities or services

Required Qualifications

• Active Registered Nurse (RN) License – Massachusetts
• Minimum 3 years of acute care experience (within the last 5 years)
• Experience in discharge planning and utilization review
• Strong knowledge of InterQual or similar criteria systems
• Experience with Epic EMR
• Excellent communication, organizational, and multitasking skills
• Ability to work independently in a fast-paced environment

Education & Certifications

• BLS Certification (required)
• BSN preferred
• Case Management Certification (CCM/CPUM) preferred

For more details reach at ukhan@navitashealth.com or Call / Text at 518-862-1204.

About Navitas Healthcare, LLC: It is a 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.