RN Care Management Coordinator

Pyramid Consulting, IncPhiladelphia, PA

$40 - $45 / hour

Apply with Sonara

Automate your job search with Sonara.

Submit 10x as many applications with less effort than one manual application.¹

Reclaim your time by letting our AI handle the grunt work of job searching.

We continuously scan millions of openings to find your top matches.

Overview

Compensation

$40-$45/hour

Job Description

Immediate need for a talented RN Care Management Coordinator. This is a 03 months contract opportunity with long-term potential and is located in U.S(PA, DE, NJ)(Remote). Please review the job description below and contact me ASAP if you are interested.Job ID:26-04684Pay Range: $40 - $45/hour. Employee benefits include, but are not limited to, health insurance (medical, dental, vision), 401(k) plan, and paid sick leave (depending on work location).Key Responsibilities:

Performs utilization management for inpatient admissions either onsite or telephonically.
Using the medical software criteria, establish the need for inpatient, continued stay and length of stay.
Directs the delivery of care to the most appropriate setting, while maintaining quality.
Contacts attending physicians regarding treatment plans/plan of care and clarifies medical need for inpatient stay or continued inpatient care
Identifies inpatient admissions no longer meeting criteria and refers care to plan Medical Directors for evaluation.
Presents cases to Medical Directors that do not meet established criteria and provides pertinent information regarding members medical condition and the potential home care needs.
Performs early identification of hospitalized members to evaluate discharge planning needs.
Collaborates 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.
Identifies and refers cases for case management and disease management.
Identifies quality of care issues including delays in care. Appropriately refers cases to the Quality Management Department and/or Care Management and Coordination Supervisor when indicated.
Maintains the integrity of the system information by timely, accurate data entry.
Utilization decisions are in compliance with state, federal and accreditation regulations.
Works to build relations with all providers and provides exceptional customer service.
Reports potential utilization issues or trends to designated supervisor and recommendations for improvement.
Participates in the process of educating providers on managed care.
Performs additional related duties as assigned.

Key Requirements and Technology Experience:

PA RN license required.
Minimum of three (3) years of acute care clinical experience in a hospital or other health care setting.
Prior discharge planning and/or utilization management experience is desirable.

Our client is a leading Health Insurance Industry, and we are currently interviewing to fill this and other similar contract positions. If you are interested in this position, please apply online for immediate consideration.Pyramid Consulting, Inc. provides equal employment opportunities to all employees and applicants for employment and prohibits discrimination and harassment of any type without regard to race, colour, religion, age, sex, national origin, disability status, genetics, protected veteran status, sexual orientation, gender identity or expression, or any other characteristic protected by federal, state or local laws.By applying to our jobs you agree to receive calls, AI-generated calls, text messages, or emails from Pyramid Consulting, Inc. and its affiliates, and contracted partners. Frequency varies for text messages. Message and data rates may apply. Carriers are not liable for delayed or undelivered messages. You can reply STOP to cancel and HELP for help. You can access our privacy policy here.#tel

Automate your job search with Sonara.

Submit 10x as many applications with less effort than one manual application.

Apply with Sonara Apply manually

FAQs About RN Care Management Coordinator Jobs at Pyramid Consulting, Inc

What is the work location for this position at Pyramid Consulting, Inc?

This job at Pyramid Consulting, Inc is located in Philadelphia, PA, according to the details provided by the employer. Some roles may also include multiple work locations depending on the requirement.

What pay range can candidates expect for this role at Pyramid Consulting, Inc?

Candidates can expect a pay range of $40–$45 per hour for this role.

What employment applies to this position at Pyramid Consulting, Inc?

The employer has not provided this information. This may be discussed during the hiring process.

What is the process to apply for this position at Pyramid Consulting, Inc?

You can apply for this role at Pyramid Consulting, Inc either through Sonara's automated application system, which helps you submit applications 10X faster with minimal effort, or by applying manually using the direct link on the job page.