Registered Nurse (RN) – Case Management - 26-03576

NavitasPartners • Barnstable, MA

1d

About The Position

"Navitas Healthcare, LLC" is seeking an experienced Registered Nurse (RN) – Case Manager to coordinate and facilitate patient care across the continuum. This role focuses on discharge planning, utilization review, and collaboration with interdisciplinary teams to ensure high-quality, cost-effective patient outcomes.

Requirements

• Active RN license (Massachusetts)
• Minimum 3 years of acute care experience within the last 5 years
• Recent experience in discharge planning and utilization review
• Working knowledge of InterQual® or equivalent system
• Strong communication, organizational, and time management skills
• Ability to work independently in a fast-paced environment
• Acute Care Experience
• InterQual®
• Utilization Review

Nice To Haves

• Bachelor of Science in Nursing (BSN)
• Case Management Certification (CCM, CPUM, or equivalent)
• Experience with interdisciplinary care coordination

Responsibilities

• Conduct daily screening of new admissions for discharge planning needs
• Develop and implement individualized care and discharge plans
• Perform initial assessments within one business day and reassess patients as needed
• Review appropriateness of admissions and level of care using InterQual® criteria
• Coordinate with physicians, care teams, and third-party payers
• Facilitate timely utilization review and ensure proper reimbursement processes
• Identify high-risk patients and coordinate appropriate resources and referrals
• Participate in daily rounds and interdisciplinary care planning
• Educate patients and families regarding care plans and insurance-related matters
• Support safe transitions of care to post-acute facilities or home services
• Maintain accurate documentation and comply with regulatory standards

What This Job Offers

• Job Type: Full-time
• Career Level: Mid Level
• Education Level: No Education Listed
• Number of Employees: 1-10 employees