RN Case Manager / per-diem
On-site · Marshfield, Massachusetts, United States
Job Summary
RN Case Manager coordinates and advocates for complex patient care across the continuum, reviewing medical records to determine medical necessity for admission and continued stay, and guiding discharge planning and resource utilization. Responsibilities include Neuro Interqual/criteria reviews, communicating with physicians about patient status, arranging timely transitions to appropriate care settings, coordinating with interdisciplinary teams, ensuring regulatory and payer requirements are met, and maintaining up-to-date knowledge of payers and post-acute resources. Requires RN licensure, strong negotiation and communication skills, and 3-5 years of acute care experience; schedule includes 32 hours minimum with night/weekend shifts and a major holiday, and duties involve utilization management, documentation, and collaboration across care teams. Location: Marshfield, MA.
Required Qualifications
- RN - Registered Nurse
- ACM-Accredited Case Manager or CCM-Certified Case Manager within two years of hire
- Minimum Education not specified beyond RN
- Minimum Work Experience: 3-5 years acute care hospital experience preferred
Desired Qualifications
- ACM-Accredited Case Manager or CCM-Certified Case Manager within two years of hire
- RN - Registered Nurse
- Bachelor's degree preferred
- Critical Care or Emergency Department experience highly desirable
- Knowledge of InterQual, EHR (Epic), discharge planning, care coordination
- Strong negotiation, communication, and multi-disciplinary collaboration skills
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