RN Case Manager - Utilization Review
Plymouth, MA
American Traveler
5x8 hrs, Days
$3,118/weekOverview
- Start Date06/29/2026
- Shift Breakdown5x8 hrs
- ShiftDays
- Duration13 weeks
- Facility InformationShort Term Acute Care155 beds
- SettingHospital
Pay
Description
Assignment Overview
- Shift: Days, 5x8hrs
- Hours: 40 hrs/wk
- Start Date: Jun 29, 2026
- Length: 13 weeks
- Openings: 1
Description
American Traveler is hiring a travel RN for a Case Management/Utilization Review position requiring a MA RN license, BLS-AHA certification, and 3–5 years of relevant experience.
Details
- Hospital-based Case Management unit
- 8-hour day shifts, 7:30 AM – 4:00 PM
- Rotating weekend requirement
- 40 hours per week
- 13-week contract
- No floating required
- No charge nurse duties required
Requirements
- Active MA RN license required and must be in hand at time of consideration
- Current BLS certification (AHA) required
- 3–5 years of experience in a case management setting required
- Certifications preferred: ACM, CCM, or CMAC
- Previous travel experience is not required
- Must reside more than 50 miles from the facility to be eligible — local candidates will not be considered
- COVID vaccine and booster required (medical exemptions accepted)
- Flu vaccine required during flu season (medical exemptions accepted)
- MA RN license and required certifications must be provided for consideration
Additional Information
- Reviews admission data to establish appropriate level of care using InterQual criteria
- Integrates clinical and billing knowledge to review, evaluate, and appeal clinical denials for hospitalized patients
- Conducts concurrent reviews to determine continued need for acute care, appropriateness and timeliness of treatments/procedures, and to optimize reimbursement potential
- Collaborates with the multidisciplinary team to assess and improve denial management, documentation, and appeals processes
- Partners with UR Manager and/or physician advisor on cases that do not meet established guidelines for admission or continued stay
- Acts as liaison between physicians and payers, coordinating peer-to-peer phone calls
- Collects and compiles data as required
- Pass/fail testing required: Telemetry/ECG and Medication Test
- Candidates who have worked for Beth Israel Lahey Health (travel, permanent, or per diem) must have a minimum one-year break from any BILH facility before being considered
- All time-off requests must be presented at the time of submission
- Interviews conducted by the hiring manager
Facility
Beth Israel Deaconess Hospital-Plymouth
3 nurses recommend working with Beth Israel Deaconess Hospital-Plymouth
Pros
None
Cons
More than half the time we did not have a CNA and you always have 5-6 patients so it’s a lot.
- Short Term Acute Care
- 155 beds
Employer
American Traveler
69 nurses recommend working with American Traveler
Pros
Autumn is amazing! She is always on top of things and responds back fast.
Cons
None
Recommends working with American Traveler
With over 25 years of experience, American Traveler has established a reputation for outstanding customer service. Our team ensures a smooth, worry-free experience for those starting on or expanding their travel nursing and allied careers.
With thousands of travel nursing and allied jobs nationwide, our attentive and approachable recruiters find positions that align perfectly with your career aspirations and personal requirements.
American Traveler offers exceptional benefits, including premium medical, dental, vision and life insurance beginning day one of your assignment, generous 401(k) match, substantial housing stipends, and more. Additionally, with 24/7 support and access to our in-house clinicians, you are assured confidence and comfort throughout your assignment.
With our team behind you, you can relax and enjoy a rewarding travel career.
About Plymouth, MA
As a travel nurse in Plymouth, MA here's what you should know:- Plymouth's cost of living is slightly higher than the national average, with housing costs being the main contributor.
- Wages generally match up with the cost of living, but it's important to budget for housing expenses.
- Summer average highs range from 70-80°F, while winter average lows range from 20-30°F.
- Be prepared for seasonal variations and potential snowfall in the winter.
- Short term rentals are available but may require some searching, especially during peak tourist seasons.
- It's advisable to plan and secure accommodations in advance.
- Plymouth is car-friendly, with easily accessible roads and parking.
- Public transportation options are limited, so having a car is recommended for convenient travel.
- The population is diverse, with a mix of age ranges.
- Common health issues may include seasonal allergies and cold-related illnesses in the winter.
- There is a growing population of travel nurses due to the city's healthcare facilities.
- Plymouth offers a variety of activities including seafood restaurants, historical landmarks, art galleries, live music venues, and outdoor recreational opportunities such as beach activities and hiking trails.
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