Case Manager: Utilization & Discharge Planning

Cape Cod Healthcare; Massachusetts; On-site; USD 42,000 - 90,000; Full time

Job summary

Cape Cod Healthcare in Hyannis, Massachusetts, is seeking a Case Manager to coordinate patient care effectively. The role involves working with an interdisciplinary team, ensuring optimal care standards, and facilitating reimbursement through the utilization review process.

The successful candidate must be a registered nurse with acute care experience, proficient in InterQual® standards, and possess excellent organizational and interpersonal skills. The position offers a challenging work environment with a focus on patient advocacy and care excellence.

Qualifications

• 3+ years acute care experience in a hospital setting or case management.
• Recent knowledge in Discharge Planning and Utilization review.
• Ability to work independently and handle multiple projects.

Responsibilities

• Facilitate and coordinate patient care for a specific population.
• Screen new admissions for discharge planning needs.
• Initiate timely care notifications and manage patient appeal rights.

Skills

English communication

InterQual knowledge

Interpersonal skills

Organizational skills

Time management

Computer skills

Education

Bachelor of Science Degree in Nursing

Certificate in Case Management or CPUM

Registered Nurse in Massachusetts

Job description

Cape Cod Healthcare in Hyannis, Massachusetts, is seeking a Case Manager to coordinate patient care effectively. The role involves working with an interdisciplinary team, ensuring optimal care standards, and facilitating reimbursement through the utilization review process.

The successful candidate must be a registered nurse with acute care experience, proficient in InterQual® standards, and possess excellent organizational and interpersonal skills. The position offers a challenging work environment with a focus on patient advocacy and care excellence.