Travel RN Nurse Manager - Medicare & DSNP Utilization Management - $3,600 per week

Access Healthcare is seeking a travel nurse RN Case Manager, Utilization Review for a travel nursing job in Somerville, Massachusetts.

• Specialty: Utilization Review
• Discipline: RN
• Duration: 13 weeks
• 40 hours per week
• Shift: 9 hours, days
• Employment Type: Travel

REMOTE position: Mon- Fri, 8am-5:00pm, no weekends, no holidays. Essential Functions-Supervise and support a team of care coordinators and case managers, ensuring they adhere to clinical standards and protocols. -Develop and implement strategies to enhance the efficiency and effectiveness of clinical care coordination. -Monitor patient care processes and outcomes to ensure compliance with regulatory requirements and hospital policies. -Facilitate collaboration between clinical teams, physicians, and other healthcare providers to optimize patient care. -Review and analyze patient data to identify trends, areas for improvement, and opportunities for intervention. -Conduct regular performance evaluations and provide ongoing training and development for staff members. -Manage case load assignments and prioritize patient cases based on acuity and resource availability. -Oversee the implementation of new care models or technologies to improve patient care and operational efficiency. -Ensure accurate documentation and reporting of case management activities and patient care outcomes.Hiring RequirementsJob DetailsJob ProfileJob ProfileJPManager, ClinicalJob Families for Job ProfilesJob Families for Job Profiles119 - Care Coordination / Case ManagementWorker Sub-TypeWorker Sub-TypeRegularWorker TypeWorker TypeEmployeeTime TypeTime TypeFull timeEmployee Contract TypeEmployee Contract Type(empty)Compensation GradeCompensation Grade8Remote TypeRemote TypeRemotePrimary LocationPrimary Location399 Revolution Drive Somerville (Assembly Row Main Building)Primary Job Posting LocationPrimary Job Posting LocationSomerville-MAAdditional LocationsAdditional Locations(empty)Additional Job Posting LocationsAdditional Job Posting Locations(empty)Scheduled Weekly HoursScheduled Weekly Hours40Work ShiftWork ShiftDay (United States of America)Recruiting Start DateRecruiting Start Date03/30/2026Target Hire DateTarget Hire Date04/06/2026Target End DateTarget End Date(empty)Additional InformationUnion Membership from Job ProfileUnion Membership from Job Profile(empty)Allowed Unions from Job ProfileAllowed Unions from Job Profile(empty)Collective Agreement DetailsCollective AgreementCollective Agreement(empty)Job DescriptionJob DescriptionEducationBachelor's Degree requiredMaster's Degree Related Field of StudyLicenses and CredentialsMassachusetts Registered Nurse RN license requiredExperienceAt least 3-5 years of experience in clinical care coordination or case management requiredLTSS (Long-Term Services and Supports) experience preferredAt least 2-3 years of experience in a supervisory or leadership role requiredAt least 2-3 years of Medicare and DSNP UM experience requiredKnowledge, Skills, and AbilitiesStrong leadership and team management skills to effectively guide and support clinical staff.Excellent communication and interpersonal skills to collaborate with healthcare providers and skills to assess patient care data and identify areas for improvement.Problem-solving abilities to address complex care coordination issues and implement effective solutions.Knowledge of regulatory requirements and industry best practices in clinical care and case management.Proficiency in healthcare management software and electronic health record systems.

Access Healthcare Job ID . Pay package is based on 9 hour shifts and 40 hours per week (subject to confirmation) with tax-free stipend amount to be determined.

Access Healthcare aims to provide superior service to our nursing family by providing around the clock support, competitive pay packages and an unmatched benefits package! Unlike other agencies, we offer a true family feel and work with you to find the placement that is right for you. We offer one of the top leading pay packages in the industry and we are ready to get you the money you deserve!

Access Healthcare was founded by two travel nurses, Danielle and Diego, who had a dream and a shared vision of creating an agency which all nurses would want to work with. Our passion has led us to where we are today as one of the top 10 agencies in our home state of New Jersey, with access to contracts in all 50 states! We encourage you to join our team and we cannot wait to get to know you!