ZipRecruiter

Log In

1

Contract Rn Case Review Jobs in Boston, MA (NOW HIRING)

South Shore Health

RN Case Manager

Weymouth, MA · On-site

$117K - $170K/yr

Applies review criteria to determine medical necessity for admission and continued stay. Provides ... The RN Case Manager is an important resource in preventing delayed discharges of observation ...

Lynn Community Health Center

RN Case Manager

Lynn, MA · On-site

$35.50 - $47.78/hr

RN Case Manager - OBAT Services Summary: The Nurse Case Manager will provide clinical nursing support for Office Based Addiction Program and for the Integrated Primary Care Teams. The Nurse Case ...

Apply Early

GQR Healthcare

Travel RN Case Manager

Milford, MA · On-site

$2.0K - $2.1K/wk

Travel Contract - W2 Case Management/Utilization Review Registered Nurse (RN) Job Location: Milford, Massachusetts Start Date: August 4, 2026 Profession: Registered Nurse (RN) Facility: Estimated Pay ...

New

Salter Healthcare

RN Case Manager

Winchester, MA

$45 - $55/wk

RN Case Manager Job Title: RN Case Manager Location: Winchester, Massachusetts Company Name: Winchester Rehabilitation and Nursing Center About the Role: As a dedicated and compassionate RN Case ...

Salter Healthcare

RN Case Manager

Winchester, MA

$45 - $55/wk

RN Case Manager Job Title: RN Case Manager Location: Winchester, Massachusetts Company Name: Winchester Rehabilitation and Nursing Center About the Role: As a dedicated and compassionate RN Case ...

Apply Early

South Shore Health

RN Case Manager per-diem

Weymouth, MA

$59.42 - $86.20/hr

Applies review criteria to determine medical necessity for admission and continued stay. Provides ... The RN Case Manager is an important resource in preventing delayed discharges of observation ...

South Shore Health

RN Case Manager per-diem

Weymouth, MA · On-site

$59.42 - $86.20/hr

Applies review criteria to determine medical necessity for admission and continued stay. Provides ... The RN Case Manager is an important resource in preventing delayed discharges of observation ...

Longwood Hospice

Case Manager RN

Norfolk, MA

$40 - $53/hr

The RN Case Manager is responsible for providing nurse and hospice case management to hospice ... POC is up to date and reviewed at every team meeting. * Assess patient needs for necessary ...

Apply Early

Longwood Hospice

Case Manager RN

Norfolk, MA

$40 - $53/hr

The RN Case Manager is responsible for providing nurse and hospice case management to hospice ... POC is up to date and reviewed at every team meeting. * Assess patient needs for necessary ...

New

ComForCare

RN Case Manager (PRN)

Lowell, MA · On-site

$45 - $50/hr

As our RN Case Manager, you'll be a problem-solver who brings peace of mind to those who need it ... and ComForCare does not accept, review or store my application. Any questions about your ...

ComForCare

RN Case Manager Homecare

Lowell, MA · On-site

$45 - $50/hr

As our RN Case Manager, you'll be a problem-solver who brings peace of mind to those who need it ... and ComForCare does not accept, review or store my application. Any questions about your ...

next page

Showing results 1-20

All JobsContract Rn Case Review JobsContract Rn Case Review Jobs in Boston, MA

Contract Rn Case Review information

See Boston, MA salary details

$20

$51

$86

How much do contract rn case review jobs pay per hour?

As of Jul 5, 2026, the average hourly pay for contract rn case review in Boston, MA is $51.64, according to ZipRecruiter salary data. Most workers in this role earn between $38.37 and $62.40 per hour, depending on experience, location, and employer.

How does a Contract RN Case Review professional typically collaborate with other healthcare team members?

As a Contract RN Case Review professional, you'll frequently coordinate with physicians, social workers, and other nursing staff to ensure comprehensive patient care. Collaboration often involves reviewing patient charts, discussing care plans, and providing recommendations for discharge planning or ongoing management. Effective communication is key, as you'll need to relay findings and updates to both internal teams and external case managers. This role often requires balancing independent, detailed review work with regular interdisciplinary meetings to drive optimal outcomes for patients.

What are the key skills and qualifications needed to thrive as a Contract RN Case Review, and why are they important?

To thrive as a Contract RN Case Review, you need a valid RN license, strong clinical judgment, and experience in case management or utilization review. Familiarity with medical coding systems (such as ICD-10, CPT), case management software, and knowledge of regulatory guidelines like Medicare and Medicaid are typically required. Excellent analytical thinking, attention to detail, and effective communication skills are crucial soft skills for this role. These competencies ensure accurate case assessments, compliance with healthcare regulations, and effective collaboration with providers and payers.

What is the difference between Contract Rn Case Review vs Contract Rn Case Management?

AspectContract Rn Case ReviewContract Rn Case Management
CertificationsRN license, case review certificationsRN license, case management certifications (e.g., CCM)
Work EnvironmentReviewing medical records, assessing casesCoordinating patient care, managing cases
Employer & IndustryInsurance companies, healthcare agenciesHealthcare providers, insurance companies
Search & Comparison IntentUnderstanding case review roles, job differencesExploring case management careers, job duties

Contract Rn Case Review focuses on evaluating medical records and determining coverage or compliance, while Contract Rn Case Management involves coordinating patient care and managing cases throughout treatment. Both roles require RN licensure, but they differ in daily tasks and responsibilities within the healthcare and insurance industries.

What is a Contract RN Case Review nurse?

A Contract RN Case Review nurse is a registered nurse who is hired on a contractual basis to evaluate patient cases, often for insurance companies, hospitals, or healthcare organizations. Their main duties include reviewing medical records, ensuring compliance with clinical guidelines, and providing recommendations for patient care or coverage decisions. These nurses typically work remotely or in office settings and may be responsible for communicating findings to healthcare providers or insurance adjusters. This role requires strong clinical knowledge, attention to detail, and excellent communication skills.
Contract Rn Case Review jobs near you
Travel Nurse RN - Case Management - $2,550 per week

Travel Nurse RN - Case Management - $2,550 per week

Prime Staffing

Plainville, MA • On-site

$2.5K/wk

Contractor

This job post has expired today. Applications are no longer accepted.

Job description

Prime Staffing is seeking a travel nurse RN Case Management for a travel nursing job in Plainville, Massachusetts.

Job Description & Requirements
  • Specialty: Case Management
  • Discipline: RN
  • Start Date: 07/20/2026
  • Duration: 13 weeks
  • 40 hours per week
  • Shift: 8 hours, days
  • Employment Type: Travel

We are seeking an experienced RN Case Manager to join a busy Acute Care Hospital. This position is responsible for coordinating patient care, managing utilization review activities, facilitating discharge planning, and ensuring appropriate resource utilization while promoting quality patient outcomes. 

Minimum Qualifications
  • Active Registered Nurse (RN) License
  • Minimum 3 years of Acute Care Case Management experience
  • Bachelor's Degree required
  • Current BLS Certification
  • Case Management Certification (CCM, ACM, or equivalent)
  • Experience with:
    • Utilization Review
    • Denials Management
    • Care Coordination
    • Discharge Planning
    • Interdisciplinary Care Management
Traveler Requirements
  • First-time travelers are welcome to apply.
Key Responsibilities
  • Coordinate patient care throughout hospitalization and discharge.
  • Perform utilization review to ensure medical necessity and appropriate level of care.
  • Manage insurance denials, appeals, and authorization processes.
  • Develop and implement discharge plans to facilitate safe transitions of care.
  • Collaborate with physicians, nurses, social workers, payers, and ancillary departments.
  • Assess patient needs and identify barriers to discharge.
  • Coordinate post-acute services and community resources.
  • Maintain accurate and timely clinical documentation.
  • Ensure compliance with regulatory, payer, and hospital requirements.
Required Skills
  • Acute Care Case Management
  • Utilization Review
  • Denials Management
  • Discharge Planning
  • Care Coordination
  • Patient Advocacy
  • Resource Management
  • Clinical Documentation
  • Regulatory Compliance
  • Interdisciplinary Collaboration
Certifications & Education

✔ BLS Certification Required
✔ Case Management Certification Required
✔ Bachelor's Degree Required

The ideal candidate is an experienced Acute Care RN Case Manager with expertise in utilization review and denials management. Candidates should be comfortable managing a large caseload, coordinating complex care plans, and collaborating with multidisciplinary teams to ensure optimal patient outcomes and efficient transitions of care.

About Prime Staffing

At Prime Staffing, we understand the importance of finding the perfect fit for both our clients and candidates. Prime Staffing utilizes a unique matchmaking approach, providing the most qualified contingent staffing to our clients, and the most competitive contracts to our workforce. Our experienced team takes the time to get to know both our clients and candidates, their needs, and preferences, to ensure that each placement is a success.

We offer a wide range of staffing services including temporary, temp-to-perm, and direct hire placements. Our extensive network of qualified candidates includes nurses, allied healthcare professionals, corporate support professionals and executives.



Apply