RN Care Managmnt Coordinator

Zolon Tech Inc.; Philadelphia (Philadelphia County); Remote; USD 70,000 - 90,000; Full time

Job summary

Zolon Tech Inc. is seeking a Remote Registered Nurse (RN) to support their utilization review team. The ideal candidate will have acute care experience and a strong understanding of clinical guidelines. This fully remote role requires residency in the tri-state area and offers the opportunity to work independently in a fast-paced environment.

Qualifications

• Experience in utilization review preferred.
• Familiarity with InterQual criteria is a strong plus.
• Must reside in the tri-state area (PA, NJ, or DE).

Responsibilities

• Conduct clinical reviews and assess medical necessity.
• Ensure appropriate use of resources and services.

Skills

Acute care clinical experience

Strong communication skills

Critical thinking skills

Ability to work independently

Job description

We are currently hiring a Remote Registered Nurse (RN) with an active Pennsylvania (PA) nursing license to support our utilization review team.

Although the position is fully remote, candidates must reside in the tri-state area (PA, NJ, or DE).

The ideal candidate will have a strong background in acute care nursing and a solid understanding of clinical guidelines and patient care standards.

Experience in utilization review processes is required, and familiarity with InterQual criteria is a strong plus.

Responsibilities include conducting clinical reviews, assessing medical necessity, and ensuring appropriate use of resources and services.

This role is best suited for a self-motivated nurse who thrives in a fast-paced, independent work environment and is committed to supporting quality care and cost efficiency.

Qualifications:

• Acute care clinical experience (required)
• Experience in utilization review (preferred)
• Familiarity with InterQual criteria (preferred)
• Must reside in the tri-state area (PA, NJ, or DE)
• Strong communication and critical thinking skills
• Ability to work independently in a remote setting

Seniority level

• Associate

Employment type

• Contract

Job function

• Information Technology

Industries

• Hospitals and Health Care