Travel Case Management RN - $2,171 per week

Trusted Talent is seeking a travel nurse RN Case Management for a travel nursing job in Hyannis, Massachusetts.

Job Description & Requirements

• Specialty: Case Management
• Discipline: RN
• Start Date: 09/28/2026
• Duration: 13 weeks
• Shift: days
• Employment Type: Travel

Purpose of Position

The Case Manager is responsible for the timely facilitation and coordination of care for a specific patient population or area of assignment. The responsibilities include working effectively with the interdisciplinary team to plan and implement an individualized program that promotes high-quality, efficient, and cost-effective care. The Case Manager must assess patient needs using established standards and Care Maps and other approved clinical guidelines.

Essential Duties and Responsibilities

• Screen new admissions daily for discharge planning needs.
• Verify accuracy of demographics and payer information and notify admissions of corrections.
• Visit patients with identified follow-up needs within one business day and complete the Initial Assessment in InterQual.
• Conduct reassessments every three days as needed for changes in medical status, diagnosis, or caregiver.
• Review appropriateness of patient admission and level of care needs utilizing InterQual Criteria.
• Initiate timely HINN Notices and letters of reinstatement.
• Coordinate patient appeal rights under the Discharge Appeals program.
• Identify and refer patients with high-risk complex psychosocial, financial, and legal needs to appropriate resources.
• Responsible for utilization review on assigned units.
• Facilitate third-party reimbursement by responding to payer requests for concurrent clinical information.
• Work closely with attending physicians/interdisciplinary team to facilitate appropriate care and services.
• Ensure the interdisciplinary care plan and discharge plan align with the patient's required needs and covered services.
• Participate in and facilitate unit daily rounds.
• Advocate for patients by developing effective partnerships with patient families, payers, and the healthcare team.
• Communicate with patients/families regarding adverse determinations and other issues related to insurance coverage and ongoing care requirements.
• Maintain patient independence in decision-making when appropriate.
• Coordinate and communicate thorough and complete referral information to ensure safe transfers to other facilities or agencies.
• Complete all necessary paperwork based on need and regulation.
• Demonstrate knowledge of community resources and act as a resource to staff in providing safe and effective post-hospital care.
• Participate and accurately apply approved standards of care/Care Maps and clinical pathways in evaluating and monitoring the patient's clinical course.
• Participate in the development and revision of pathways.
• Participate in care conferences on patients across the continuum.
• Evaluate the continued length of stay of patients for appropriateness per recognized InterQual criteria.
• Make appropriate referrals to the Physician Advisor if criteria are not met and resolution with the attending physician cannot be accomplished.
• Identify days at risk for denial and initiate strategies to facilitate care and accomplish discharge.
• Assist medical coders by obtaining necessary diagnostic and procedural information to assure appropriate reimbursement.
• Maintain established departmental policies and procedures, objectives, quality assurance program, safety, environmental, and Infection Control standards.
• Keep core/clinical competency and current knowledge of regulatory and payer requirements to perform job responsibilities.
• Participate in education programs, in-services, and meetings as required.
• Recognize/understand the responsibility of this key role in supporting high-quality patient care delivery regardless of assignment. This will be measured by accountability/initiative in performing daily duties and assignments as itemized in major accountabilities.
• Ability to work independently.
• Comply with policies regarding the dress code.
• Perform other related duties as assigned or requested. Display flexibility, cooperation, and teamwork characteristics.
• Consistently provide service excellence to all patients, family members, visitors, volunteers, and co-workers.

Qualifications

• Minimum of three years of acute care experience within the past five years with broad clinical experience in a hospital setting or case management.
• Working knowledge of InterQual or equivalent system.
• Recent experience within the past four years in Discharge Planning and Utilization review.
• Ability to read, write, and communicate in English.
• Current registration as a Registered Nurse in Massachusetts.
• Bachelor of Science Degree in Nursing preferred.
• Certificate in Case Management, CPUM, or specialty preferred.
• Strong interpersonal and negotiation skills demonstrated by a positive attitude, pleasant, professional, and cooperative demeanor with patients, physicians, fellow employees, and insurance companies.
• Excellent organization and time management skills.
• Ability to work independently and effectively in a fast-paced environment.
• Ability to work productively in a stressful environment and effectively handle multiple projects and changing priorities.
• Proficient computer skills with the ability to utilize and integrate updated software systems into practice.

Must Have Skills

• Acute care experience
• Familiarity with InterQual

Trusted Nurse Staffing Benefits We provide reliable, experienced support finding work, securing training, and succeeding in your assignment. Your Trusted team member will customize your pay package and benefits to fit your lifestyle. Benefits include: - Comprehensive Dental, Health, & Vision Benefits - HRA Card to Fully Cover Healthcare Deductibles - Student Loan Assistance Program - Earn $1,500 for Every Referral - Retirement & Disability Plans Including 401(k) After One Year - License, Certification, & CEU Reimbursement Additional benefits: - Flexible Contracts - Customized Pay Packages - Welcome Gift Box - Weekly Paychecks and Direct Deposit - Whole Life and Accident Insurance

Trusted Talent Job ID #JN -082026-946614. Pay package is based on 12 hour shifts and 36 hours per week (subject to confirmation) with tax-free stipend amount to be determined. Posted job title: RN - Case Management

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