RN Case Manager / per-diem
On-site · Hingham, Massachusetts, United States
Job Summary
RN Case Manager acts as patient advocate and coordinator of care, reviewing medical necessity for admission/continued stay, providing clinically-based case management, discharge planning, and care coordination to facilitate cost-effective, high-quality healthcare. The role involves reviewing patient records using InterQual and physician certification criteria, arranging services and resources, communicating with physicians and payors, and leading efforts to optimize length of stay and resource utilization. The position requires nursing licensure and certification readiness (ACM/ CCM within two years), strong negotiation and communication skills, and collaboration with interdisciplinary teams to ensure safe, timely discharge and appropriate post-acute care options.
Required Qualifications
- RN - Registered Nurse
- ACM-Accredited Case Manager or CCM-Certified Case Manager within two years of hire
- Bachelor's degree strongly preferred
- Minimum 3-5 years acute care hospital experience preferred
- Critical Care or Emergency Department experience highly desirable
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