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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