RN Case Manager - RNCM 0408 AP#02
NavitasPartners•Barnstable, MA
About The Position
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.
Requirements
- 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
- Excellent communication and organizational skills
- Ability to work independently in a fast-paced environment
- Strong multitasking and prioritization abilities
Nice To Haves
- Bachelor of Science in Nursing (BSN) preferred
- Case Management certification preferred
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
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What This Job Offers
Job Type
Full-time
Number of Employees
1-10 employees
