RN Case Manager / per-diem
On-site · Hanover, Massachusetts, United States
Job Summary
RN Case Manager position in Hanover, MA providing patient advocacy, care coordination, and utilization management within an acute care hospital. Responsible for reviewing records against InterQual criteria, determining medical necessity for admission/continued stay, coordinating discharge planning, and facilitating timely, cost-effective, high-quality patient care. Collaborates with interdisciplinary teams, supports referrals to post-acute services, and participates in quality improvement initiatives. Requires active RN licensure, broad knowledge of payers and resources, and strong communication/negotiation skills. Role emphasizes 32+ hours with night/weekend coverage and at least one major holiday per 4-week schedule; expects documentation and liaison work with physicians, payers, and family members, with attention to avoiding delays in discharge and optimizing resource utilization. Technology tools include EHR/Epic, InterQual, and related case-management systems.
Required Qualifications
- RN - Registered Nurse
- Massachusetts RN license
- CCM or ACM certification within two years of hire
- Bachelor's degree in Nursing (BSN) strongly preferred
- 3-5 years acute care hospital experience preferred
- Critical Care or Emergency Department experience highly desirable
Desired Qualifications
- RN Case Manager
- Case Management
- Discharge planning
- Care coordination
- InterQual criteria
- Utilization review
- Hospital resource utilization
- Multidisciplinary collaboration
- ACM/ CCM certification
- Registered Nurse license
- Bachelor's degree in Nursing (BSN) preferred
- Critical Care or Emergency Department experience desirable
This role has closed. Sorce can match you with similar open roles and apply on your behalf.
Hiring someone like this?
Get your role in front of qualified candidates on Sorce.