RN Case Manager

Job Title: RN Case Manager - Inpatient Care Specialty/Department: Case Management Facility Location: 330 Mount Auburn Street, Cambridge, MA 02138 Contract Length: 13 Weeks Shift: Day Shift (7:00 AM - 5:30 PM), occasional weekends may be required Guaranteed Hours: 40 hours/week Position Overview: Mount Auburn Hospital is seeking an experienced and licensed Registered Nurse Case Manager to join its inpatient Case Management team. This full-time role involves both utilization review and discharge planning, helping ensure safe, cost-effective care transitions and compliance with regulatory standards. Key Responsibilities: Conduct utilization review and manage discharge planning for all inpatient admissions. Apply InterQual criteria to evaluate the appropriateness of inpatient versus outpatient care. Collaborate with physicians and care teams to identify and coordinate alternative care options. Determine appropriate levels of care and lead team discussions for optimal patient outcomes. Work closely with nursing and social work staff to coordinate discharge plans. Identify and report days not meeting acute hospital level of care to the physician reviewer. Guide patients and families through post-acute care planning and long-term care arrangements. Manage observation status patients to ensure proper documentation and care utilization. Participate in rotating coverage for weekends, holidays, and on-call pager shifts. Adhere to all regulatory, contractual, and insurance-related requirements. Requirements: Active Massachusetts RN license (Required at time of submission) COVID-19 vaccine and booster (Required; no declinations accepted) Minimum 3 years of medical/surgical nursing experience At least 2 years of experience in case management or utilization management Strong verbal communication, organization, and conflict-resolution skills Computer proficiency, including basic typing skills Bachelor's degree in nursing (Preferred) Additional Details: Epic EMR experience preferred Local candidates not accepted Must not have worked (perm or travel) at any Beth Israel facility in the past 6 months

Created: 2026-03-10