Nationwide Therapy Group is seeking a travel nurse RN Case Management for a travel nursing job in Athol, Massachusetts.
Job Description & Requirements
- Specialty: Case Management
- Discipline: RN
- Duration: 13 weeks
- 40 hours per week
- Shift: 8 hours, days
- Employment Type: Travel
Key Responsibilities
- Utilization Management:
- Complete admission/observation reviews within 24 hrs
- Perform concurrent & retrospective utilization reviews
- Monitor LOS, medical necessity, and InterQual criteria
- Submit & appeal authorizations/denials as required
- Care Coordination & Discharge Planning:
- Participate in daily multidisciplinary discharge rounds
- Develop & implement discharge plans (home, SNF, rehab, etc.)
- Ensure patient/family preference forms are completed
- Collaborate with social workers for SNF & care transitions
- Quality & Compliance:
- Track abnormal findings, complications, and LOS issues
- Educate providers on admission/observation criteria
- Prepare reports and assist with performance improvement
- Communication:
- Serve as liaison between providers, payers, and patients
- Issue ABN/HINN notices and educate patients/families
- Complete SNF level-of-care forms for MassHealth patients
Experience:
Minimum UR/QA experience required
2+ years preferred in Acute Care, SNF, HHA, Behavioral Health, or Insurance
BSN preferred
About Nationwide Therapy Group
NTG is a proud partner with healthcare professionals across the country. We are Joint Commission certified, and specialize in staffing all areas of nursing, therapy, and allied health in all 50 states. Our focus is YOU... the traveler! Our goal is to help you find the perfect opportunity through some of the best recruiters in the business. We want to provide an agency experience that is easy and stress-free so you can focus on what you do best... providing exceptional care to your patients!
Benefits
- Holiday Pay
- Weekly pay
- Guaranteed Hours
- 401k retirement plan
- Medical benefits
- Mileage reimbursement
- Referral bonus
- License and certification reimbursement
- Dental benefits