Job Title: RN – Case Management
Location: Hyannis, MA 02601
Duration: 13 Weeks
Schedule: 40 hours/week
Four (4) shifts per week (10.5 hours each)
Shift Options: 11:30 AM – 10:00 PM or 12:00 PM – 10:30 PM
Rotating days, weekends, and holidays
Pay Rate: $65 – $70 per hour
"Navitas Healthcare, LLC" is seeking an experienced Registered Nurse – Case Manager to coordinate and facilitate patient care across the continuum. This role focuses on discharge planning, utilization review, and collaboration with interdisciplinary teams to ensure high-quality, cost-effective patient outcomes.
Perform daily screening of new admissions for discharge planning needs
Conduct initial assessments and reassessments using InterQual® criteria
Coordinate individualized care plans with physicians and interdisciplinary teams
Facilitate timely discharge planning and ensure continuity of care
Perform utilization review and evaluate appropriateness of admissions and level of care
Communicate with third-party payers to support reimbursement and ongoing services
Initiate HINN notices, discharge appeals, and reinstatement processes as needed
Identify high-risk patients and connect them with appropriate resources
Participate in daily rounds and care conferences
Advocate for patients and families regarding care plans and insurance coverage
Coordinate referrals and ensure safe patient transitions to other facilities or services
Maintain compliance with regulatory, quality, and documentation standards
Minimum 3 years of acute care experience within the past 5 years
Recent experience in discharge planning and utilization review
Working knowledge of InterQual® or equivalent system
Active Registered Nurse (RN) license – Massachusetts
Strong communication, organizational, and problem-solving skills
Ability to work independently in a fast-paced environment
Proficient with computer systems and healthcare software
Bachelor of Science in Nursing (BSN)
Certification in Case Management (CCM), CPUM, or related specialty
Acute Care Experience
InterQual®
For more details contact at mdeshpande@navitashealth.com
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.