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

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 Aditi.sharma@navitashealth.com 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.