RN Care Coordinators

Category:

Healthcare

Employment Type:

Contract To Hire

Reference:

BH-384097

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.

*PA, NJ, or DE nursing license is REQUIRED. Compact license or license from a state other than the 3 listed will not be considered.

* This is a REMOTE position, however, a eligible candidates MUST reside in the tri-state area.


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

• PA, NJ, or DE nursing license
• Residency in the tri-state area
• Must have own computer and monitor
• 3+ years of acute care clinical experience in a hospital or other heatlh care setting
• Discharge planning and/or utilization management experience is desirable

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