RN - Manager - Clinical Resource/Case Management - Hyannis, MA - RN 26-06479
NavitasPartners•Barnstable, MA
•Onsite
About The Position
Navitas Healthcare, LLC is seeking an RN Manager, Clinical Resource Management for an exciting Travel or Local job in Hyannis, MA. This role involves providing leadership and management for Case Management and Social Work teams, supporting Clinical Documentation Integrity (CDI) initiatives, overseeing discharge planning and utilization management, and leading process improvement efforts to enhance patient care and operational efficiency.
Requirements
- Bachelor of Science in Nursing (BSN) required
- Current Massachusetts Registered Nurse (RN) License required
- Minimum 5 years of Case Management experience in an acute care hospital setting required
- Minimum 3 years of acute care clinical experience within the past 5 years required
- Minimum 2 years of process improvement experience required
- Working knowledge of InterQual or equivalent utilization management tools required
- Experience developing and presenting professional education programs
- Strong leadership, analytical, communication, and organizational skills
- Experience with discharge planning, utilization review, and care coordination
Nice To Haves
- Master’s Degree preferred
- Certification in Case Management (CCM) preferred
- Certification in Clinical Documentation Integrity (CDI) preferred
- Previous leadership, supervisory, or management experience preferred
Responsibilities
- Provide leadership and management of Case Management and Social Work teams, including staffing, scheduling, coaching, and performance evaluations
- Collaborate with operational leadership to support Clinical Documentation Integrity (CDI) initiatives
- Conduct patient care rounds to identify barriers to discharge and facilitate timely transitions of care
- Oversee discharge planning, utilization management, and care coordination activities
- Support high-risk and complex patient populations through effective resource management
- Provide onboarding, training, and mentorship for clinical staff and interdisciplinary team members
- Educate staff on utilization review processes, discharge planning requirements, and regulatory updates
- Monitor compliance metrics and departmental performance indicators
- Develop reporting tools and dashboards to identify improvement opportunities
- Lead process improvement initiatives to enhance operational efficiency, patient outcomes, and regulatory compliance
- Analyze performance data and implement evidence-based improvement strategies
- Promote interdisciplinary collaboration and support organizational quality initiatives
Benefits
- Most competitive pay for every position
- Salary will be discussed upfront
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What This Job Offers
Job Type
Full-time
Career Level
Manager
