RN Care Management Coordinator jobs in United States
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Innova Solutions · 15 hours ago

RN Care Management Coordinator

positionPhiladelphia, PA
timeContract
remoteOnsite
seniorityMid Level
money$45/hr - $48/hr

Innova Solutions has a client that is immediately hiring for a RN Care Management Coordinator. The role involves applying critical thinking and advanced medical knowledge to make case determinations and ensure compliance with state, federal, and accreditation regulations.

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

Responsibilities

Responsible for applying critical thinking and judgement skills based on advanced medical knowledge to cases utilizing specified resources and guidelines to make case determination
Utilizes resources such as InterQual, Care Management Policy, Medical Policy and Electronic Desk References to determine the medical appropriateness of the proposed plan
Utilizes the medical criteria of InterQual and/or Medical Policy to establish the need for inpatient, continued stay and length of stay, procedures and ancillary services
Appropriately refers cases to the Quality Management Department and/or Care Management and Coordination Manager when indicated to include delays in care
Appropriately refers cases to Case and Disease Management
Ensures utilization decisions are compliant with state, federal and accreditation regulations
Ensures that all key functions are documented via Care Management and Coordination Policy

Qualification

PA RN licenseInfusion Therapy experienceMedical knowledgeCritical thinkingDocumentation skills

Required

PA RN license required
Experience in Infusion Therapy Team

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

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Raj Sardana
Founder, Chairman, & CEO
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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