Travel - Registered Nurse (RN) - Case Management - CCMA Job at NavitsPartners, Gloucester, MA

cGFsSFNmcVd3OVpIdk9qbzVMNEVJTU1aTmc9PQ==
  • NavitsPartners
  • Gloucester, MA

Job Description

Job Title: Travel - Registered Nurse (RN) – Case Management

Location: Hyannis, MA

Assignment Type: Travel Contract

Duration: 13 Weeks

Shift: Monday to Friday | 8:00 AM – 4:30 PM

Total Weekly Compensation: $2,762 – $2,890

Position Overview:

We are seeking an experienced Registered Nurse (RN) specializing in Case Management for a 13-week travel assignment in Hyannis, MA. The Case Manager will coordinate and facilitate patient care across the continuum to ensure high-quality, cost-effective outcomes. This role requires strong clinical judgment, the ability to collaborate effectively with interdisciplinary teams, and a commitment to delivering compassionate care.

Key Responsibilities:

  • Conduct daily admission screenings and prioritize patients requiring discharge planning
  • Complete initial assessments and reassessments using InterQual® within specified timelines
  • Review appropriateness of admissions and levels of care; follow established escalation protocols when criteria are not met
  • Facilitate appeals and initiate required notices (e.g., HINN, discharge appeals)
  • Identify complex psychosocial or financial needs and refer to appropriate resources
  • Perform utilization reviews and respond to third-party payers with timely, accurate information
  • Collaborate with physicians and care teams to align care and discharge plans with patient needs and payer guidelines
  • Participate in daily interdisciplinary rounds and serve as a patient advocate
  • Ensure seamless transitions of care, including referrals, documentation, and communication with external facilities
  • Maintain up-to-date knowledge of community resources and post-acute care options
  • Apply clinical pathways and care maps; contribute to their development and updates
  • Identify and manage days at risk for denial, and assist in coding and documentation as needed
  • Adhere to quality, safety, infection control, and regulatory standards
  • Participate in ongoing education, training, and quality initiatives

Qualifications:

  • Active RN license in the Commonwealth of Massachusetts
  • Bachelor of Science in Nursing (preferred)
  • Minimum of 3 years recent acute care experience in a hospital or case management role
  • Demonstrated experience in discharge planning and utilization review within the past 4 years
  • Working knowledge of InterQual® or equivalent clinical review system
  • Case Management certification (CCM, CPUM, or specialty) preferred
  • Strong interpersonal, communication, and negotiation skills
  • Ability to manage time effectively and work both independently and within a team
  • Proficiency with electronic health records and modern healthcare software systems

Job Tags

Contract work, Shift work, Monday to Friday,

Similar Jobs

Holiday Inn Express Durango

Hotel Laundry Linen Attendant Job at Holiday Inn Express Durango

As we continue to grow our business we expect to bring on additional personnel in LHG to promote that growth. We have identified leaders in the markets we serve which will add to our ability to meet our mission objectives.Job Purpose: To tend laundering machines to clean...

American Oversight

Investigator Job at American Oversight

 ...website: g About the Role: Reporting to the Director of Investigations, American Oversight is seeking an Investigator to join our...  ...engagement by contributing to meetings, briefings, and background conversations with journalists, advocates, and allies. Communicate... 

TLC Nursing

Travel Social Worker Medical Social Worker Job Job at TLC Nursing

 ...Embark on a meaningful journey as a Medical Social Worker in Albany Oregon where your expertise will illuminate pathways through complex...  ...to grow your practice while rooted in a supportive community. Working in Albany allows you to contribute to a close-knit care network... 

Sapsol Technologies Inc

Golang Developer Job at Sapsol Technologies Inc

 ...Must have: AWS Greengrass and IoT Core Engineer with Golang. Experience : Relevant experience of 10+ Years Design and implement...  ..., telemetry ingestion, and rule-based data routing. Develop and deploy Lambda functions and containerized applications on edge... 

Atria Physician Practice New York PC

Per Diem Pediatric RN Job at Atria Physician Practice New York PC

 ...are available for rapid consults, support, and referrals. As a per diem pediatric registered nurse at Atria, you will be providing...  ...Registered Nursing License ~2+ years experience as a practicing RN with regular experience in phlebotomy and IV placement in...