Job Title: Registered Nurse – Case Management (Travel)
Location: Hyannis, MA
Job Type: Contract
Pay: $70 – $80.03/hour | $3,201/week (Travel Rate)
Schedule: 40 hours/week | 8:00 AM – 4:30 PM | Every Other Weekend | Rotating Holidays
We are seeking a highly skilled and motivated Registered Nurse – Case Manager (Travel) to join a dynamic care team in Hyannis, MA. This contract role offers the opportunity to work in a collaborative healthcare environment, focusing on effective discharge planning, utilization review, and care coordination.
Key ResponsibilitiesPerform daily discharge planning assessments and set priorities.
Complete InterQual® Initial Assessments within one business day.
Reassess patients every 3 days or as their medical status changes.
Determine appropriate level of care (Inpatient vs. Observation).
Issue HINN notices and reinstatement letters; manage appeals processes.
Conduct utilization reviews and collaborate with third-party payers.
Work closely with the interdisciplinary team to align patient care plans.
Serve as a patient advocate, facilitating communication with insurers.
Participate in daily unit rounds and interdisciplinary care conferences.
Coordinate safe and effective post-discharge transitions and referrals.
Apply and update Care Maps and clinical pathways.
Identify delays in care and contribute strategies to reduce length of stay.
Support coders by providing accurate clinical documentation.
Stay current on community resources and healthcare regulations.
Licensure: Active RN license in the Commonwealth of Massachusetts (required)
Education: BSN preferred (required for external applicants)
Certifications: Case Management Certification (CCM), CPUM, or specialty certification preferred
Minimum 3 years of acute care experience in a hospital setting within the past 5 years
Recent experience (within the past 4 years) in Discharge Planning and Utilization Review
Familiarity with InterQual® or a similar utilization review tool is required
A broad clinical background is strongly preferred
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