Case Manager RN: Discharge Planning & Utilization Expert

Portsmouth Regional Hospital - New Hampshire; Portsmouth (NH); On-site; USD 65,000 - 90,000; Part time

Benefits offered by this job

Medical benefits

Dental & Vision

401(k) match

Tuition assistance

Life insurance

Job summary

Portsmouth Regional Hospital - New Hampshire is seeking a Case Manager RN to support utilization review and discharge planning for a diverse patient population. The role collaborates with physicians and a multidisciplinary team to ensure appropriate care from admission to discharge.

The ideal candidate has RN licensure, InterQual proficiency, and 1–3 years in a hospital setting. This PRN position offers opportunities for growth, healthcare benefits, and ongoing professional development.

Qualifications

• Registered nurse with active clinical license and InterQual proficiency.
• Experience with CMS guidelines and payer-specific rules.
• UR or hospital Case Management experience preferred; strong communication skills.

Responsibilities

• Perform utilization review and case management for admissions and discharge planning.
• Coordinate with physicians and multidisciplinary team to develop patient care plans.
• Identify barriers to care and coordinate with transfers and resources.
• Review payer denials and ensure medical necessity across episodes.

Skills

InterQual proficiency

Discharge planning

Payer guidelines

Education

RN licensure

BSN/MSN preferred

Job description

Portsmouth Regional Hospital - New Hampshire is seeking a Case Manager RN to support utilization review and discharge planning for a diverse patient population. The role collaborates with physicians and a multidisciplinary team to ensure appropriate care from admission to discharge.

The ideal candidate has RN licensure, InterQual proficiency, and 1–3 years in a hospital setting. This PRN position offers opportunities for growth, healthcare benefits, and ongoing professional development.