Travel Case Manager - Utilization Review - $2,728 per week

Wellspring Nurse Source is seeking a travel nurse RN Case Management for a travel nursing job in Melrose, Massachusetts.

• Specialty: Case Management
• Discipline: RN
• Start Date: ASAP
• Duration: 13 weeks
• 40 hours per week
• Shift: 9 hours, days
• Employment Type: Travel

Job Title : Case Manager Registered Nurse (RN)
Job Summary :

A Case Manager Registered Nurse (RN) coordinates and manages the care of patients, ensuring they receive appropriate, cost-effective, and timely healthcare services. Case managers work across various healthcare settings, including hospitals, outpatient facilities, and home care, to facilitate patient care transitions, advocate for patients, and collaborate with multidisciplinary teams to promote optimal outcomes.

• Conduct comprehensive assessments of patients' medical, psychosocial, and financial needs to develop individualized care plans.
• Coordinate and facilitate care across multiple healthcare settings, ensuring continuity of care, appropriate utilization of resources, and adherence to treatment plans.
• Collaborate with physicians, healthcare providers, and insurance companies to authorize treatments, secure necessary services, and ensure compliance with clinical guidelines.
• Evaluate patient progress, monitor outcomes, and adjust care plans based on patients' evolving needs and goals.
• Educate patients, families, and caregivers on disease management, treatment options, and available resources to support recovery and self-care.
• Advocate for patients to ensure they receive appropriate services and that care is delivered efficiently and effectively.
• Facilitate communication among healthcare providers, patients, and insurance companies to resolve barriers to care.
• Assist patients with obtaining necessary medical equipment, medications, and follow-up care to ensure successful transitions post-discharge.
• Track healthcare costs, utilization of services, and outcomes, contributing to cost containment strategies and improved care delivery.
• Monitor and ensure compliance with healthcare regulations, insurance policies, and external mandates related to case management.
• Participate in quality improvement initiatives, utilizing evidence-based practices to enhance patient care.
• Provide guidance and support to patients and families navigating complex healthcare systems.

• Education : Bachelor of Science in Nursing (BSN) preferred; Associate Degree in Nursing (ADN) accepted.
• Licensure :
  
  • Valid Registered Nurse (RN) license in the state of practice.
• Certification :
  • Case Management certification (CCM) preferred.
  • Basic Life Support (BLS) certification required.
• Experience : Previous experience in case management, care coordination, or clinical nursing, particularly in medical-surgical, home health, or specialized units

Wellspring Nurse Source Job ID . Pay package is based on 9 hour shifts and 40.0 hours per week (subject to confirmation) with tax-free stipend amount to be determined. Posted job title: RN Case Manager

Wellspring is nurse owned and operated which means that we get you, we stand behind you, and we advocate for you. We are 100% committed to helping you find your best job at the best rate. We are unwavering in our commitment to supporting our clinicians on every step of their travel adventure, assisting with everything from onboarding and payroll to on-the-job clinical support with a dedicated Clinician Success Team. You're not just a number at Wellspring, you're a valued member of our family. Join us and experience the Wellspring difference.