Job Description
Job Title: Travel - Registered Nurse (RN) – Case Management
Location: Hyannis, MA
Assignment Type: Travel Contract
Duration: 13 Weeks
Shift: Monday to Friday | 8:00 AM – 4:30 PM
Total Weekly Compensation: $2,762 – $2,890
Position Overview:
We are seeking an experienced Registered Nurse (RN) specializing in Case Management for a 13-week travel assignment in Hyannis, MA. The Case Manager will coordinate and facilitate patient care across the continuum to ensure high-quality, cost-effective outcomes. This role requires strong clinical judgment, the ability to collaborate effectively with interdisciplinary teams, and a commitment to delivering compassionate care.
Key Responsibilities:
Conduct daily admission screenings and prioritize patients requiring discharge planning
Complete initial assessments and reassessments using InterQual® within specified timelines
Review appropriateness of admissions and levels of care; follow established escalation protocols when criteria are not met
Facilitate appeals and initiate required notices (e.g., HINN, discharge appeals)
Identify complex psychosocial or financial needs and refer to appropriate resources
Perform utilization reviews and respond to third-party payers with timely, accurate information
Collaborate with physicians and care teams to align care and discharge plans with patient needs and payer guidelines
Participate in daily interdisciplinary rounds and serve as a patient advocate
Ensure seamless transitions of care, including referrals, documentation, and communication with external facilities
Maintain up-to-date knowledge of community resources and post-acute care options
Apply clinical pathways and care maps; contribute to their development and updates
Identify and manage days at risk for denial, and assist in coding and documentation as needed
Adhere to quality, safety, infection control, and regulatory standards
Participate in ongoing education, training, and quality initiatives
Qualifications:
Active RN license in the Commonwealth of Massachusetts
Bachelor of Science in Nursing (preferred)
Minimum of 3 years recent acute care experience in a hospital or case management role
Demonstrated experience in discharge planning and utilization review within the past 4 years
Working knowledge of InterQual® or equivalent clinical review system
Case Management certification (CCM, CPUM, or specialty) preferred
Strong interpersonal, communication, and negotiation skills
Ability to manage time effectively and work both independently and within a team
Proficiency with electronic health records and modern healthcare software systems
Job Tags
Contract work, Shift work, Monday to Friday,
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