Job Description
Job Description
Job Title: RN Case Manager
Location: Massachusetts, 02601
Schedule: 4 days/week (10-hour shifts)
Shift Options: 7:30 AM – 6:00 PM or 8:00 AM – 6:30 PM
Hours: 40 hours per week
Shift Type: Day Shift
Weekend/Holiday Requirement: Every other weekend & holiday
Position Summary
The RN Case Manager is responsible for coordinating patient care, discharge planning, and utilization review to ensure high-quality, cost-effective treatment. This role collaborates closely with physicians, patients, families, and insurance providers to support optimal patient outcomes.
Key Responsibilities
- Coordinate patient care and discharge planning
- Conduct patient assessments and reassessments
- Perform utilization review using InterQual® or similar criteria
- Collaborate with physicians and interdisciplinary teams
- Communicate with insurance providers for authorization and reimbursement
- Identify high-risk patients and connect them with appropriate resources
- Advocate for patients and support informed care decisions
- Facilitate safe transitions to home care or other facilities
- Participate in daily rounds and care planning
Qualifications
- Active Registered Nurse (RN) license in Massachusetts (required)
- Minimum 3 years of acute care experience
- Experience in case management, discharge planning, and utilization review
- Strong knowledge of InterQual® or similar systems
- Bachelor of Science in Nursing (BSN) preferred
- Case Management certification preferred
Additional Requirements
- Excellent communication and organizational skills
- Ability to work independently in a fast-paced environment
- Strong multitasking and prioritization abilities
For more details reach at vgill@navitassols.com or Call / Text at 516-862-1203.
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.