Job Description

Position Title:

Case Management RN

Location:

Hyannis, MA 02601

Job Type:

Contract

Shift:

Day | 5x8.5s

Local Pay Range:

$60-$65/hr


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Position Summary

"Navitas Healthcare, LLC" is seeking

Case Management RN

for an exciting job in

Hyannis, MA.

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Responsibilities

Complete daily admission screenings and timely initial assessments. Verify payer/demographic information and ensure level-of-care appropriateness. Perform utilization review, respond to payer requests, and initiate HINN notices or appeals as needed. Develop and update plans of care; identify barriers and coordinate referrals. Collaborate with providers to align care needs, discharge planning, and covered services. Ensure accurate documentation and support reimbursement processes. Participate in rounds, care conferences, and quality initiatives. Maintain compliance with policies, regulations, safety, and infection control standards.
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Qualifications

3+ years recent acute care experience; case management or broad clinical background. Knowledge of InterQual or equivalent criteria. Recent experience in discharge planning and utilization review. Active MA RN license; BSN and CCM/CPUM certification preferred. Strong communication, critical thinking, and organizational skills. Proficient in EMR and computer systems; able to work independently and collaboratively.
For more details contact at pmohanty@navitashealth.com or Call / Text at

516-806-4227

.



About

Navitas Healthcare, LLC

certified WBENC and one of the fastest-growing healthcare staffing firms in the US providing Medical, Clinical and Non-Clinical services to numerous hospitals. We offer the most competitive pay for every position we cater. We understand this is a partnership. You will not be blindsided and your salary will be discussed upfront.