RN Case Manager / per-diem
On-site · Pembroke, Massachusetts, United States
Job Summary
RN Case Manager position focusing on patient advocacy, care coordination, discharge planning, and utilization management across observation and inpatient care. Responsibilities include reviewing medical records for medical necessity, coordinating with physicians and payors, facilitating timely discharge, maintaining InterQual criteria adherence, and supporting cost-effective, high-quality care while ensuring communication across multidisciplinary teams. Requires nursing licensure and CCM/ACM certification within two years, with emphasis on negotiation, documentation, and program-based resource optimization.
Required Qualifications
- RN - Registered Nurse
- ACM-Accredited Case Manager or CCM-Certified Case Manager within two years of hire
- Minimum Education - Bachelor’s prepared strongly preferred
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