Job Title : Case Management RN
Location : Hyannis MA 02601
Duration : 13 Weeks
Schedule : 40 hrs / week rotating 8 : 00 AM 4 : 30 PM
Pay Rate : $55$60 / hr
Job Summary
Navitas Healthcare LLC is seeking Case Management RN for an exciting job in Hyannis MA.
Responsibilities
Screen new admissions and complete initial and ongoing assessments using InterQual.
Verify demographics / payer details and coordinate discharge planning needs.
Review level of care initiate required notices and support appeals.
Conduct utilization review and respond promptly to payer requests.
Identify high-risk patients and refer to appropriate resources.
Collaborate with physicians and staff to align care plans and safe transitions.
Support length-of-stay management and prevent denials.
Ensure accurate documentation and assist with coding when needed.
Maintain compliance with policies regulatory standards and clinical pathways.
Qualifications
RN license in Massachusetts; BSN preferred.
3 years recent acute care experience; case management / discharge planning experience strongly preferred.
Knowledge of InterQual or similar criteria.
Strong communication organization and time-management skills.
Ability to work independently in a fast-paced environment; proficient computer skills.
For more details contact at
About Navitas Healthcare LLC certified WBENC and one of the fastest-growing healthcare staffing firms in the US providing Medical Clinical and Non-Clinical services to numerous hospitals. We offer the most competitive pay for every position we cater. We understand this is a partnership. You will not be blindsided and your salary will be discussed upfront.
Key Skills
Project Portfolio Management,Motivational Interviewing,HIPAA,Computer Skills,Intake Experience,Lean Six Sigma,Conflict Management,Case Management,Team Management,Program Development,Social Work,Addiction Counseling
Employment Type : Hourly
Experience : years
Vacancy : 1
Monthly Salary Salary : 55 - 60
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