Manager – Clinical Resource / Case Management (RN) – Contract - CRCMMD

NavitasPartners • Barnstable, MA

16h • Onsite

About The Position

Navitas Healthcare, LLC is seeking an experienced RN Leader for a Clinical Resource / Case Management Management role in an acute care hospital setting. This position oversees Case Management, Utilization Review, Social Work, and Clinical Documentation teams, ensuring effective discharge planning, care coordination, and regulatory compliance.

Requirements

• Active Massachusetts RN License required
• Bachelor’s in Nursing required
• Minimum 5 years acute care case management experience
• Minimum 3 years acute care clinical experience
• Experience in utilization management, discharge planning, and care coordination
• Knowledge of CMS regulations
• Strong leadership, communication, and analytical skills

Nice To Haves

• Master’s preferred
• Experience with InterQual or similar utilization review tools preferred
• Prior supervisory or management experience preferred
• Experience developing and delivering training programs preferred

Responsibilities

• Manage daily operations of Case Management, Social Work, and Clinical Resource teams
• Oversee staffing schedules, workflows, and performance evaluations
• Lead discharge planning, utilization review, and high-risk patient coordination processes
• Conduct regular patient unit rounds to support discharge efficiency
• Develop and deliver training and education programs for CM/SW staff and clinical teams
• Monitor compliance metrics and create performance dashboards
• Identify process gaps and implement quality improvement initiatives
• Collaborate with physicians, nurses, and interdisciplinary teams
• Stay current with CMS regulations and case management standards
• Promote continuous improvement and clinical best practices

Benefits

• Most competitive pay for every position
• Salary will be discussed upfront

What This Job Offers

• Job Type: Full-time
• Career Level: Manager