RN Case Manager

Job Description & Requirements

RN Case Manager

StartDate : 11 / 10 / 2025 Pay Rate : $ - $

Position Summary

RN Case Manager-

Screen new admissions daily for discharge planning needs.

Establish priority of visits based on screening criteria.

Verify accuracy of demographics and payer information in and notify admissions of corrections.

Patients with identified needs for follow-up are seen within one (1) business day of identification and the Initial Assessment is completed in InterQual®.

Reassessments are done every three (3) days as needed for changes in medical status, diagnosis, or caregiver.

Review appropriateness of patient’s admission and level of care needs (Inpatient and Observation) utilizing InterQual® Criteria. Follow policy and procedure if Level of Care is not met.

Initiates timely HINN Notices and letters of reinstatement.

Coordinates patient appeal rights under the Discharge Appeals program.

Identifies patients and families who have high-risk complex psychosocial / financial and legal needs and refers patients to appropriate resources.

Responsible for utilization review on assigned unit.

POSITION DUTIES

Demonstrate recent knowledge / experience within past 4 years in Discharge Planning and Utilization review; Working knowledge of InterQual

Minimum Required Qualifications

2 Years of experience, MA License

Preferred Qualifications

Bachelor of Science Degree in Nursing (BSN) preferred

• EPIC experience recommended

LENGTH OF ASSIGNMENT

13 Weeks

SHIFT / HOURS PER WEEK

Rot. Days,8-430, E / O Weekend, Rot. Holiday

SYSTEMS

EPIC

START DATE

11 / 10 / 2025

Facility Location

From sweeping vistas of dancing dune grass to bustling fishing villages and salty sea breezes, Cape Cod is the ideal place for travelers who enjoy the natural wonders of the ocean. Go sailing or whale-watching, take a ferry to Martha’s Vineyard, sample just-caught lobster or simply unwind on a wide open stretch of beach on this beautiful peninsula.

Job Benefits

Becoming an AMN Healthcare professional gives you the incredible opportunity to gain critical career experience, work with new people, and earn a highly competitive salary—but the perks don't stop there. There are many additional benefits to enjoy, including :

About The Company

At AMN Healthcare, we strive to be recognized as the most trusted, innovative, and influential force in helping healthcare organizations provide quality patient care that continually evolves to make healthcare more human, more effective, and more achievable.