RN Case Manager: Care Navigator & Discharge Expert

South Shore Health; United States; On-site; USD 118,000 - 171,000; Full time

Job summary

South Shore Health System in Weymouth, MA is seeking an experienced RN Case Manager to advocate for SSH-EC clients and coordinate care across the continuum. The role includes discharge planning, utilization review, and collaboration with physicians, nursing staff, and payers to ensure quality outcomes.

The RN Case Manager will work on-site and participate in weekend rotations and occasional holidays, supporting cost-effective, high-quality care for complex patients within SSH Care Progression.

Qualifications

• RN must be licensed and registered (MA).
• 3–5 years acute hospital experience preferred.
• Strong communication, collaboration and critical thinking.

Responsibilities

• Review medical records to ensure appropriate care and utilization.
• Coordinate discharge planning and post-acute referrals.
• Collaborate with physicians, nursing, and payers for approvals.
• Identify barriers to timely discharge and resolve them.

Skills

Case management

Discharge planning

InterQual criteria

Communication

Critical thinking

Education

RN - Registered Nurse

Tools

EHR

InterQual

MCCM

Job description

South Shore Health System in Weymouth, MA is seeking an experienced RN Case Manager to advocate for SSH-EC clients and coordinate care across the continuum. The role includes discharge planning, utilization review, and collaboration with physicians, nursing staff, and payers to ensure quality outcomes.

The RN Case Manager will work on-site and participate in weekend rotations and occasional holidays, supporting cost-effective, high-quality care for complex patients within SSH Care Progression.