RN Utilization Review & Care Coordination — Day Shift

emergiTEL Healthcare; Honesdale (Wayne County); On-site; USD 4,550,000 - 5,915,000; Full time

Benefits offered by this job

Collaborative, team-oriented environment

Consistent daytime schedule

Opportunity to impact patient outcomes

Job summary

A healthcare services provider in Honesdale seeks a Utilization Review / Case Manager RN. The role involves conducting utilization reviews, collaborating with teams for care plans, and ensuring compliance with standards. Candidates should have an active RN license in Pennsylvania and at least 2 years of clinical experience. Strong communication and organizational skills are essential. This position offers a consistent daytime schedule and a collaborative team environment.

Qualifications

• Current Registered Nurse (RN) license in Pennsylvania.
• Minimum of 2 years of clinical experience in acute care or case management.
• Strong knowledge of utilization management 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.

Skills

Clinical judgment

Communication skills

Utilization management

Discharge planning

Critical thinking

Organizational skills

Education

Current, active Registered Nurse (RN) license in Pennsylvania

Minimum of 2 years of clinical experience

Job description

A healthcare services provider in Honesdale seeks a Utilization Review / Case Manager RN. The role involves conducting utilization reviews, collaborating with teams for care plans, and ensuring compliance with standards. Candidates should have an active RN license in Pennsylvania and at least 2 years of clinical experience. Strong communication and organizational skills are essential. This position offers a consistent daytime schedule and a collaborative team environment.