Care Management Coordinator/RN jobs in United States
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Innova Solutions · 1 week ago

Care Management Coordinator/RN

positionPhiladelphia, PA
timeContract
remoteOnsite
seniorityMid Level
money$40/hr - $45/hr
date3+ years exp

Innova Solutions is a staffing firm that is seeking a Care Management Coordinator/RN for a client in Philadelphia, PA. The role involves utilizing medical resources to assess treatment plans, coordinating with providers, and ensuring compliance with regulations regarding care management.

Artificial Intelligence (AI)Business Information SystemsCloud Data ServicesConsultingCyber SecurityInformation TechnologyInfrastructureIT ManagementMachine LearningSoftware
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H1B Sponsor Likelynote

Responsibilities

Responsible for utilizing resources such as; InterQual, Care Management Policy, Medical Policy and Electronic Desk References to determine the medical appropriateness of the proposed plan
Contacts servicing providers regarding treatment plans/plan of care and clarifies medical need for services
Reviews treatment plans/plan of care with provider for requested services/procedures, inpatient admissions or continued stay, clarifying medical information with provider if needed
Performs early identification of members to evaluate discharge planning needs
Appropriately refers to Case and Disease Management
Ensures utilization decisions are compliant with state, federal and accreditation regulations

Qualification

Active PA Licensed RNAcute care clinical experienceDischarge planning experienceUtilization management experienceBSNMedical management experience

Required

Active PA Licensed RN
Minimum of three (3) years of acute care clinical experience in a hospital or other health care setting

Preferred

Prior discharge planning and/or utilization management experience is desirable
BSN Preferred
Medical management/precertification experience preferred

Benefits

Medical & pharmacy coverage
Dental/vision insurance
401(k)
Health saving account (HSA)
Flexible spending account (FSA)
Life Insurance
Pet Insurance
Short term and Long term Disability
Accident & Critical illness coverage
Pre-paid legal & ID theft protection
Sick time
Other types of paid leaves (as required by law)
Employee Assistance Program (EAP)

Company

Innova Solutions

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Innova Solutions is an IT company that specializes in data analytics, cloud computing, cyber security, and machine learning.
dateFounded in 1998
location
Duluth, Georgia, USA
people-size10001+ employees
web-link
https://www.innovasolutions.com/

H1B Sponsorship

Innova Solutions has a track record of offering H1B sponsorships. Please note that this does not guarantee sponsorship for this specific role. Below presents additional info for your reference. (Data Powered by US Department of Labor)
Distribution of Different Job Fields Receiving Sponsorship
Represents job field similar to this job
Trends of Total Sponsorships
2025 (452)
2024 (399)
2023 (290)
2022 (78)
2021 (36)
2020 (98)

Funding

Current Stage
Late Stage
Total Funding
unknown
2012-01-01Private Equity

Leadership Team

R
Raj Sardana
Founder and CEO
linkedin
A
Atul Gambhir
Chief Information & Product Officer
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Recent News

EIN Presswire
Innova Solutions Launches AIFICIENT™: Closing AI Outcome Gap for Enterprises
2025-12-15
EIN Presswire
Growing at 16.8% CAGR | Open Source Services Market Reach USD 165.4 Billion by 2033 Globally
2025-08-01
Business Wire
2025 Research | Application Modernization Services Market Set to Double by 2029, Reaching USD 39.62 Billion - ResearchAndMarkets.com
2025-04-23
Company data provided by crunchbase