This position is for a Travel Nurse RN specializing in Case Management, working a 13-week assignment in Cambridge, MA with responsibilities including utilization review, discharge planning, and coordinating patient care. The nurse applies clinical expertise to determine appropriate care levels, communicates with healthcare teams, and ensures compliance with regulatory and insurance requirements. Candidates must have a valid RN license, experience in medical/surgical nursing and case management, and strong communication skills.
Talent4Health is seeking a travel nurse RN Case Management for a travel nursing job in Cambridge, Massachusetts.
Primary Responsibilities:
1. Performs utilization review and discharge planning to inpatient admissions to MAH.
2. Applies InterQual Inpatient criteria approved by the MACIPA (risk) and MAH (non-risk) Utilization Management Committees to accurately determine appropriateness for inpatient and outpatient care.
3. Communicates with attending and house staff when options to inpatient care are identified.
4. Utilizes clinical expertise to determine the appropriate level of care for patients. Leads the healthcare team in selecting appropriate, safe, hospital or alternative care options.
5. Works with MAH nursing and social work staff to coordinate and facilitate patient discharge.
6. Identifies days not meeting acute hospital level of care criteria and reports them to the physician reviewer.
7. Works with patients and families to facilitate post hospital care and develop plans to meet short and long-term needs.
8. Accurately manages observation status patients by working with physicians to ensure appropriate utilization.
9. Is part of the department's Saturday, holiday and beeper rotation as needed.
10. Adheres to all insurance, contractual, and regulatory requirements as mandated.
11. Abides by MACIPA Case Management standards as per the MACIPA CM guidelines.
Required Qualifications:
1. Bachelor's degree preferred. Current state license as a Registered Nurse
2. Three years of medical/surgical nursing care experience. Two years of case management or utilization management experience required.
3. Basic computer and typing skills.
4. Effective verbal communication skills and problem solving and conflict resolution skills.
5. Demonstrated ability to organize and work independently.
Shift: 40 hours per week 7a-5:30p Occasional weekend may be required Epic experience preferred COVID Vaccines + Booster required at time of submission (declinations not accepted). Active MA license required at time of submissions
A leader and innovator, offering comprehensive talent solutions for the healthcare industry across the nation. Talent4Health, based in Wilmington, DE is a one stop solution that offers access to an inclusive network of excellent healthcare professionals through its state-of-the-art recruitment strategies and extensive career opportunities. We have successfully placed over 3000 plus clinicians with the topmost healthcare facilities across 50 states in the US.
With countless prestigious clients under our umbrella, backed up by passionate and hard-working recruiters, we are a team you have been looking for!
Why Choose us?
When it comes to choosing a recruitment agency, it’s imperative to consider what all they have to offer.
If this is all that excites you, do visit today!
travel nurse, registered nurse, RN case management, utilization review, discharge planning, patient care coordination, medical-surgical nursing, healthcare compliance, clinical expertise, post hospital care