Job Title: Travel Registered Nurse (RN) – Case Management
Location: Hyannis, MA
Department: Case Management
Shift: 8:00 AM – 4:30 PM | 40 hours/week
Schedule: Every other weekend | Rotating holidays
Pay Rate: $80.03/hour | $3,201/week
We are seeking an experienced and detail-oriented Travel RN – Case Manager to support care coordination and utilization review in an acute care setting. The ideal candidate will demonstrate strong clinical knowledge, exceptional communication skills, and a deep understanding of discharge planning and payer guidelines. This is a travel contract position located in Hyannis, Massachusetts.
Key Responsibilities:Conduct daily discharge planning screens and establish case prioritization
Complete InterQual® Initial Assessments within one business day and perform reassessments every three days or as clinically indicated
Determine appropriate level of care (Inpatient vs. Observation)
Issue HINN notices, facilitate appeal processes, and manage reinstatement letters
Perform utilization reviews and liaise with third-party payers
Coordinate discharge and care plans in collaboration with interdisciplinary teams
Advocate for patients during payer communications and discharge planning
Participate in daily unit rounds, family meetings, and care conferences
Facilitate safe discharge transitions, referrals, and community resource linkage
Utilize and update Care Maps or clinical pathways to guide care
Identify delays in treatment and collaborate to reduce length of stay
Assist coding and documentation teams with clarifying clinical information
Maintain current knowledge of regulatory policies and community resources
Current RN license in the Commonwealth of Massachusetts
Minimum 3 years of acute care experience within the past 5 years in a hospital setting
Recent experience (within the past 4 years) in Discharge Planning and Utilization Review
Strong understanding of InterQual® or equivalent criteria system
Broad clinical background
Bachelor of Science in Nursing (BSN) preferred (required for external applicants)
Certification in Case Management, CPUM, or a specialty clinical area
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