Inpatient Hospital Case Manager
Melrose, MA
PRIDE Health
5x8 hrs, Days
Referral Bonus

Case Manager (Travel Assignment)

Location: Melrose, Massachusetts
Specialty: Case Manager (Inpatient Hospital)
Contract Length: 13 weeks

Job Description

A hospital in Massachusetts is seeking a Case Manager for a travel assignment. This role is ideal for a local candidate interested in a temp-to-perm position, but a 13-week travel assignment will also be considered.

Schedule

• 40 hours per week
• Monday through Friday

Requirements

• Strong inpatient hospital case management experience is a must
• Experience in acute care setting and discharge planning required
• Utilization review experience is not required
• Familiarity with Medicare, Medicaid, managed care, and other third-party payor review requirements
• BSN preferred but not required

Responsibilities

• Ensure medical necessity of hospitalization and treatment according to hospital and third-party payor guidelines
• Ensure appropriate utilization of hospital resources
• Collaborate with physicians and healthcare team members to manage care cost-effectively and efficiently
• Coordinate and advocate for patients and families requiring post-hospital services
• Plan and arrange services for discharge to achieve planned care outcomes
• Act as liaison among medical staff, other departments, patients, families, and community resources to facilitate utilization management review and discharge planning

Additional Notes

• Local candidates preferred due to potential temp-to-perm opportunity
• 40 hours per week, Monday through Friday schedule