RN Care Managmnt Coordinator

IntePros; Philadelphia (Philadelphia County); Remote; USD 65,000 - 95,000; Full time

Job summary

Join a mission-driven team as a Registered Nurse Care Management Coordinator, where you'll optimize healthcare outcomes through strategic care coordination. In this remote role, you'll conduct utilization management reviews, assess inpatient care needs, and collaborate with healthcare professionals to ensure timely discharges. Your clinical judgment and communication skills will be vital in enhancing patient outcomes and supporting efficient service delivery. This position offers a unique opportunity to make a real impact in the healthcare industry, working alongside dedicated professionals committed to transforming care delivery. If you're passionate about patient care and looking for a rewarding challenge, this role is for you.

Qualifications

• 3+ years of acute care clinical experience required.
• Experience in discharge planning or utilization management preferred.

Responsibilities

• Conduct utilization management reviews for inpatient admissions.
• Coordinate care transitions and facilitate discharge planning.
• Maintain accurate documentation in internal systems.

Skills

Clinical Judgment

Problem-Solving Skills

Verbal Communication

Written Communication

Organizational Skills

Documentation Skills

Collaboration

Customer Focus

Education

Registered Nurse (RN) License

Bachelor of Science in Nursing (BSN)

Job description

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RN Care Management Coordinator – Infusion Therapy Team (Remote)

Department: Care Management and Coordination

Employment Type: Full-Time | Location: Remote

Join a team that’s making a real impact on patients' lives. We are currently seeking a Registered Nurse (RN) Care Management Coordinator to support our Infusion Therapy Team. This remote position offers the opportunity to play a pivotal role in optimizing healthcare outcomes through strategic care coordination and utilization review.

About The Role

Under the guidance of the Care Management and Coordination Supervisor, the RN Care Management Coordinator performs telephonic or onsite reviews of hospital admissions, ensures appropriate utilization of healthcare resources, and facilitates early and effective discharge planning. This role is key to driving quality care, promoting efficient use of services, and enhancing patient outcomes.

Key Responsibilities

• Conduct utilization management reviews for inpatient admissions (onsite or remote).
• Assess the need for inpatient care, continued stay, and appropriate length of stay using medical criteria software.
• Coordinate care transitions to the most appropriate, cost-effective settings without compromising quality.
• Collaborate with attending physicians to review treatment plans and clarify medical necessity.
• Identify hospital admissions that no longer meet inpatient criteria and present cases to Medical Directors as needed.
• Evaluate members for discharge planning needs early in their hospital stay.
• Work with hospital staff, physicians, and families to facilitate smooth, timely discharges.
• Identify cases for case management or disease management referrals.
• Flag quality-of-care concerns and report them to the appropriate departments.
• Maintain accurate and timely documentation in internal systems.
• Comply with state, federal, and accreditation standards in all utilization decisions.
• Support provider education and build positive relationships across the healthcare network.
• Report trends, utilization issues, and improvement opportunities to leadership.

Required Qualifications:

• Registered Nurse (RN) license in good standing (BSN preferred).
• Minimum 3 years of acute care clinical experience (hospital or similar setting).
• Experience in discharge planning and/or utilization management strongly preferred.
• Valid driver’s license and reliable transportation (for occasional onsite needs).

Key Skills:

• Strong clinical judgment and problem-solving skills.
• Excellent verbal and written communication across all levels.
• Highly organized with strong documentation and follow-through abilities.
• Proven ability to collaborate effectively with cross-functional teams.
• Customer-focused and committed to delivering exceptional service.

If you’re a compassionate RN with strong clinical knowledge and a passion for care coordination, we want to hear from you. Apply now to join a mission-driven team committed to transforming healthcare delivery.

Seniority level

• Mid-Senior level

Employment type

• Full-time

Job function

• Health Care Provider

Industries

• IT Services and IT Consulting