RN Case Manager / per-diem
On-site · Braintree, Massachusetts, United States
Job Summary
RN Case Manager coordinates discharge planning, care coordination, and resource utilization for SSH&EC patients under Case Management to achieve quality and cost-efficient outcomes. Responsibilities include reviewing medical records to determine medical necessity for admission and continuation of care using InterQual and payer criteria, coordinating and negotiating services, arranging timely discharge, communicating with physicians, payers, and families, and participating in quality improvement. Requires active RN licensure, experience in acute care with emphasis on case management, and demonstrated skills in negotiation, interdisciplinary collaboration, and critical thinking. Minimum commitment includes 32 hours weekly with two shifts/night/weekends and at least one major holiday; Bachelor's-prepared candidates strongly preferred; CCM/ACM certification within two years of hire preferred.
Required Qualifications
- RN - Registered Nurse
- ACM-Accredited Case Manager or CCM-Certified Case Manager within two years of hire
- Minimum Education unspecified in explicit requirements but RN licensure required
- Bachelor's degree strongly preferred
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