Manager Clinical Resource / Case Management - MGRCM 0603 NS#03

Manager

• Clinical Resource / Case Management

• MGRCM 0603 NS

  #03 NavitasPartners
• 4.

0 Fall River, MA Job Details Up to $3,000 a month 10 hours ago Qualifications Utilization review RN License CMS Clinical staff development programs Windows Managing patients as a nurse case manager Continuing education (CE) programs (healthcare teaching and curriculum development) Acute care facility experience CMS regulatory compliance Clinical staff training Utilization management Bachelor of Science in Nursing Developing staff training programs as a care facility administrator Desktop applications Resource utilization in healthcare Bachelor's degree in nursing Computer skills Operational excellence initiatives Hospital regulatory compliance Educational program management

Full Job Description Job Title:

Manager

• Clinical Resource /

Case Management Location:

Hyannis, MA Duration:

13 Weeks (Extendable)

Shift Details:

Monday

• Friday, 8-hour day shifts Rotating on-call for weekends and holidays

Weekly Compensation:

Up to $3,000 (based on experience) Position Summary The Manager of Clinical Resource / Case Management is responsible for overseeing daily operations and providing clinical leadership for Case Management, Utilization Review, and Social Work services. This role supports care coordination, discharge planning, and high-risk patient management while ensuring compliance with regulatory standards and optimizing patient outcomes. The position also plays a key role in staff development, process improvement initiatives, and collaboration across multidisciplinary teams. Key Responsibilities Leadership & Department Operations Oversee day-to-day operations of Case Management and Social Work teams Manage staff scheduling, workflow, and performance evaluations Support clinical documentation processes in collaboration with leadership Mentor, coach, and develop team members to enhance performance Care Coordination & Discharge Planning Conduct patient rounds to identify discharge barriers and facilitate transitions of care Ensure effective discharge planning and utilization management Collaborate with physicians, nurses, and interdisciplinary teams Education & Staff Development Develop and deliver continuing education programs Provide onboarding and role-specific training for new staff Educate clinical teams on utilization review and discharge planning processes Quality Improvement & Compliance Monitor compliance metrics and identify performance gaps Develop dashboards and reports to track outcomes Lead process improvement initiatives Ensure adherence to regulatory standards and best practices Analytics & Reporting Analyze operational and departmental performance metrics Utilize case management systems to drive improvements Present data-driven recommendations to leadership Required Qualifications Active Registered Nurse (RN) license (state-specific) Bachelor of Science in Nursing (BSN) required Minimum 3 years of recent acute care clinical experience Minimum 5 years of Case Management experience in an acute care setting Minimum 2 years of process improvement experience Working knowledge of utilization review systems (e.g., InterQual® or equivalent) Knowledge of healthcare regulations and reimbursement processes (e.g., CMS) Experience developing and delivering education programs Strong computer skills (Windows-based applications) Excellent organizational, analytical, and communication skills Preferred Qualifications Master's degree in Nursing or related field Certification in Case Management (CCM) and/or Clinical Documentation Integrity (CDI) Prior management or supervisory experience Experience leading multidisciplinary healthcare teams Work Environment Acute care hospital setting Leadership role requiring collaboration across departments Focus on patient-centered care, compliance, and operational efficiency Additional Notes Candidates must be flexible for on-call responsibilities Strong emphasis on leadership, quality improvement, and team development For more details reach at or Call / Text at 516-587-6677 .

About Navitas Healthcare, LLC:

It is a Joint Commission Certified / WBENC and one of the fastest-growing healthcare staffing firms in the US providing Medical, Clinical and Non-Clinical services to numerous hospitals. We offer the most competitive pay for every position we cater. We understand this is a partnership. You will not be blindsided, and your salary will be discussed upfront.