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RN Case Review Coordinator - Per Diem - Faulkner

IntelliResume

About This Role The RN Case Review Coordinator is responsible for performing essential case management activities to facilitate safe and cost-effective transitions post-discharge. This role is ideal for experienced nurses with a background in utilization review and case management. Highlights Location: Jamaica Plain, MA Schedule: Per Diem What You’ll Do Perform utilization review to evaluate appropriate level of care. Collaborate with patients, families, and interdisciplinary teams for discharge needs. Implement referrals to post-acute care. Document interactions with patients and teams online. Interact with third‑party payers for clinical communications. Refer cases not meeting care levels to the Physician Advisor. Review and facilitate documentation for Medicare status changes. Monitor quality issues and document in R.L. solutions. Requirements Education: BSN required. Experience: 3 years of Utilization Review and Case Management experience required. 5 years of Acute Care Nursing required. Licenses & Certifications: Current Registration as a Licensed Nurse in the State of Massachusetts. CCM preferred. Benefits Comprehensive benefits package. Career advancement opportunities. Recognition programs for contributions and professional growth. #J-18808-Ljbffr IntelliResume

Vacancy posted 1 day ago
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