RN - Case Manager

emergiTEL HR Solutions; Honesdale (Wayne County); On-site; USD 75,000 - 110,000; Full time

Job summary

emergiTEL HR Solutions seeks an experienced Registered Nurse (RN) to join as Utilization Review / Case Manager in Honesdale, PA. This on-site role emphasizes utilization review, discharge planning, and care coordination within hospital and payer guidelines.

The ideal candidate will have strong clinical judgment, excellent communication, and at least 2 years of clinical or case management experience in acute care.

Qualifications

• Current, active Registered Nurse license in Pennsylvania.
• Minimum of 2 years of clinical experience (acute care or case management preferred).
• Strong knowledge of utilization management processes and discharge planning.

Responsibilities

• Conduct utilization review for patient admissions and continued stays.
• Collaborate with interdisciplinary teams to develop and implement care plans.
• Facilitate communication among providers, patients, and insurance companies.
• Coordinate discharge planning to ensure continuity of care.
• Maintain documentation in compliance with hospital and payer standards.
• Participate in performance improvement initiatives related to case management.

Skills

Utilization management

Care coordination

Discharge planning

Communication skills

Critical thinking

RN license (PA)

Education

RN license (PA)

Job description

Location: Honesdale, Pennsylvania 18431

Schedule:

8-hour Day Shifts

Typical Hours: 7:00 AM – 3:30 PM or 8:00 AM – 4:30 PM

Every other weekend and holiday rotation

About the Role

We are seeking an experienced Registered Nurse (RN) to join our team as a Utilization Review / Case Manager. The ideal candidate will have strong clinical judgment, excellent communication skills, and a thorough understanding of utilization management, discharge planning, and care coordination.

This position plays a vital role in ensuring appropriate resource utilization and promoting high-quality, cost-effective patient care in accordance with hospital and regulatory guidelines.

Responsibilities

Conduct utilization review for patient admissions and continued stays.

Collaborate with interdisciplinary teams to develop and implement care plans.

Facilitate communication among providers, patients, and insurance companies.

Coordinate discharge planning to ensure continuity of care.

Maintain documentation in compliance with hospital and payer standards.

Participate in performance improvement initiatives related to case management.

Qualifications

Current, active Registered Nurse (RN) license in the state of Pennsylvania.

Minimum of 2 years of clinical experience (acute care or case management preferred).

Strong knowledge of utilization management processes and discharge planning.

Excellent communication, critical thinking, and organizational skills.

Ability to work independently and collaboratively in a fast-paced environment.

Why Join Us

Collaborative, team-oriented environment.

Opportunity to make a direct impact on patient outcomes and care efficiency.