RN - CARE Manager

Details

Client Name
Innova Solutions - PA

Job Type
Local

Offering
Nursing

Profession
RN

Specialty
CARE Manager

Job ID
37530399


Shift Details

Shift
5x8 Days

Scheduled Hours
40


Job Order Details

Start Date
07/20/2026

End Date
04/17/2027

Duration
39 Week(s)


Job Description
Prime HCS is seeking an experienced RN for a long-term, fully remote Care Management Coordinator contract.
In this role, you will review medical records and clinical information to determine medical necessity and appropriateness of services using established clinical guidelines, including InterQual. You will also support discharge planning, communicate with providers as needed, authorize medically appropriate services, and refer cases requiring additional review to the Medical Director.
Qualifications:
• Active Pennsylvania RN license required
• Minimum 3 years of Medical-Surgical clinical experience
• Discharge planning experience required
• BSN preferred
• Utilization management or InterQual experience preferred
• Medical management or precertification experience is a plus
• Strong clinical judgment, communication, and organizational skills
Schedule includes a once-per-month weekend rotation.
Long-term contract | Fully remote

Prime Benefits
• First Day Medical, Dental, Vision and Rx benefits
• 401(k) Savings plan after 90 days
• Competitive pay rates
• Weekly Direct Deposit
Qualifications
• At least 3-years total experience in your specialty
• Current BLS and/or ACLS (AHA Preferred) and/or Specialty Certifications
• Active Nursing License per state
• Current Updated Resume
• Supervisory Professional References
• Must complete Drug Screen and Background Screen

Submit your resume and experience the Prime difference or call View phone number on click.appcast.io for more details.

Client Details

City
Pittsburgh

State
PA

Zip Code
15255