RN Case Manager / per-diem
On-site · Kingston, Massachusetts, United States
Job Summary
RN Case Manager (per-diem) in Kingston, MA coordinates, negotiates, procures services, and manages care for complex patients to optimize quality and cost efficiency. Responsibilities include reviewing medical records for admission/continued stay using InterQual criteria, determining medical necessity, discharge planning, and care coordination across interdisciplinary teams. Acts as a clinical resource to physicians and staff, facilitates timely discharge, ensures appropriate utilization of resources, maintains payer communications, and supports quality improvement initiatives. Requires RN licensure, strong negotiation/communication skills, knowledge of healthcare financing and utilization management, and familiarity with InterQual, EHR systems (Epic, MCCM, MCCM, MCCM), and post-acute care resources. Minimum 32 hours with night/weekend shifts across a 4-week schedule; some major holidays included.
Required Qualifications
- RN - Registered Nurse
- ACM-Accredited Case Manager or CCM-Certified Case Manager within two years of hire
- Minimum Education: Bachelor’s degree preferred
- 3-5 years acute care hospital experience preferred
- Critical Care or Emergency Department experience highly desirable
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