Innova Solutions · 7 hours ago
RN Care Coordinator
Philadelphia, PA
Contract
Onsite
Mid Level
$40/hr - $45/hr
3+ years expInnova Solutions is a staffing firm that provides strategic technology and business transformation solutions. They are seeking an RN Care Coordinator to apply critical thinking and advanced medical knowledge to evaluate treatment plans and ensure appropriate care management for patients.
Artificial Intelligence (AI)Business Information SystemsCloud Data ServicesConsultingCyber SecurityInformation TechnologyInfrastructureIT ManagementMachine LearningSoftware
Responsibilities
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
IQ criteria are objective clinical statements that assist in determining the medical appropriateness of a proposed intervention which is a combination of evidence-based standards of care, current practices, and consensus from licensed specialists and/or primary care physicians
IQ criteria are used as a screening tool to support a clinical rationale for decision making
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
Identifies and refers cases in which the plan of care/services are not meeting established criteria to the Medical Director for further evaluation determination
Qualification
Required
Must have an active PA license or a Nurse Licensure Compact to include PA
Minimum of three (3) years of acute care clinical experience in a hospital or other health care setting
Preferred
Bachelor of Science in Nursing
Medical management/precertification experience
Prior discharge planning and/or utilization management experience
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
Innova Solutions is an IT company that specializes in data analytics, cloud computing, cyber security, and machine learning.
10001+ employees
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 StageTotal Funding
unknown2012-01-01Private Equity
Leadership Team
R
Raj Sardana
Founder and CEO
A
Atul Gambhir
Chief Information & Product Officer
Recent News
2025-12-15
EIN Presswire
2025-08-01
Company data provided by crunchbase