Care Management Coordinator/RN

Innova Solutions has a client that is immediately hiring for a Care Management Coordinator. Position type: Full time - Contract Duration: 3+ Months Location: Philadelphia, PA As a Care Management Coordinator, you will: Perform telephonic utilization management for inpatient admissions . Use the medical software criteria, establish the need for inpatient, continued stay and length of stay. Direct the delivery of care to the most appropriate setting, while maintaining quality. Contact attending physicians regarding treatment plans/plan of care and clarifies medical need for inpatient stay or continued inpatient care. Identify inpatient admissions no longer meeting criteria and refers care to plan Medical Directors for evaluation. Present cases to Medical Directors that do not meet established criteria and provides pertinent information regarding members medical condition and the potential home care needs. Perform early identification of hospitalized members to evaluate discharge planning needs. Collaborate with hospital case management staff, physician and family to determine alternative setting at times and provide support to facilitate discharge to the most appropriate setting. The ideal candidate will have: RN license required or Nurse Licensure Compact that includes Pennsylvania for Registered Nurses. Minimum of three (3) years of neonatal intensive care clinical experience in a hospital or other health care setting. Prior discharge planning and/or utilization management experience is desirable.. Qualified candidates should APPLY NOW for immediate consideration Please hit APPLY to provide the required information, and we will be back in touch as soon as possible. Thank you Garv Bhalla 678-207-5236 [email protected] PAY RANGE AND BENEFITS: Pay Range: $43 - $45 per hour Pay range offered to a successful candidate will be based on several factors, including the candidates education, work experience, work location, specific job duties, certifications, etc. Benefits: Innova Solutions offers benefits( based on eligibility) that include the following: Medical & pharmacy coverage, Dental/vision insurance, 401(k), Health saving account (HSA) and Flexible spending account (FSA), Life Insurance, Pet Insurance, Short term and Long term Disability, Accident & Critical illness coverage, Pre-paid legal & ID theft protection, Sick time, and other types of paid leaves (as required by law), Employee Assistance Program To view the full job description please use the link below.

Created: 2026-01-12