Per Diem RN Case Manager – Discharge & Care Coordination

Umass-Memorial-Health-; Southbridge (MA); On-site; USD 58,000 - 103,000; Full time

Benefits offered by this job

Signing bonus potential

Job summary

UMass Memorial Health is seeking a Care Manager to handle utilization review and discharge planning. You will collaborate with physicians, nurses and social workers to ensure smooth patient transitions and adherence to standards, including InterQual criteria.

The role requires a Massachusetts nursing license, nursing degree, and demonstrated discharge planning experience within a hospital setting. This position may offer a signing bonus; strong communication and organization are essential.

Qualifications

• Licensed nurse with MA license and active practice.
• Experience in discharge planning and utilization review required.
• Familiarity with InterQual criteria and care coordination processes.

Responsibilities

• Plan for patients' continuity of care across ambulatory and emergency settings.
• Perform clinical documentation in Medhost and Meditech.
• Collaborate with physicians, nurses, social workers and care team.
• Monitor bed status and insurance authorization with health plans.
• Ensure discharge planning aligns with standards and regulations.

Skills

Discharge planning experience

Utilization review

InterQual Criteria understanding

Effective cross-departmental коммуника

Clinical nursing knowledge

Education

Current Massachusetts Nursing License

RN or BSN graduate

Tools

Medhost

Meditech

Job description

UMass Memorial Health is seeking a Care Manager to handle utilization review and discharge planning. You will collaborate with physicians, nurses and social workers to ensure smooth patient transitions and adherence to standards, including InterQual criteria.

The role requires a Massachusetts nursing license, nursing degree, and demonstrated discharge planning experience within a hospital setting. This position may offer a signing bonus; strong communication and organization are essential.