What are the responsibilities and job description for the Case Management RN - RN25-33040 position at NavitsPartners?
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 mdeshpande@navitashealth.com
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.
Salary : $55 - $60