RN Care Coordinators

RN Care Coordinator needed for a remote contract opportunity with Yoh’s client located in Philadelphia, PA. We are looking for a nurse to join the Care Management and Coordination team.

*This is a REMOTE position; however, a PA, NJ, or DE nursing license is REQUIRED.

Schedule: Monday-Friday 8am-4:30pm (this position will require one weekend a month - will have two weekdays off, one day prior to the weekend and one day after)
Duration: 3 months with possible extension or direct placement
Pay: $32-40/hr DOE

What You’ll Be Doing:

• 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

What You Need to Bring to the Table:

• Active PA RN or LPN License (BSN Preferred)
• Acute care clinical experience in a hospital or other health care setting
• Prior discharge planning and/or utilization management experience is desirable

What’s In It For You?

• Join Yoh’s extensive talent community that will provide you with access to Yoh’s vast network of opportunities.
• Weekends and holidays off
• Direct deposit & weekly epayroll

 
APPLY NOW!
Recruiter: Laura Mopas


Estimated Min Rate: $32
Estimated Max Rate: $40
Note: Any pay ranges displayed are estimations.  Actual pay is determined by an applicant's experience, technical expertise, and other qualifications as listed in the job description.  All qualified applicants are welcome to apply.

Yoh, a Day & Zimmermann company, is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, or status as a protected veteran.

Visit https://www.yoh.com/applicants-with-disabilities to contact us if you are an individual with a disability and require accommodation in the application process.

For California applicants, qualified applicants with arrest or conviction records will be considered for employment in accordance with the Los Angeles County Fair Chance Ordinance for Employers and the California Fair Chance Act.  All of the material job duties described in this posting are job duties for which a criminal history may have a direct, adverse, and negative relationship potentially resulting in the withdrawal of a conditional offer of employment.