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Remote-Utilization Manager RN (3-month Contract with Extensions)

Insight Global Healthcare
Wilmington, DE Remote Temporary
POSTED ON 4/20/2025
AVAILABLE BEFORE 5/14/2025

Job Description

Job Description

Location : REMOTE (MUST BE LOCAL to PA, NJ or DE)

Hours : M-F 8am-4 : 30pm

  • This position will require one weekend a month (will have the two weekdays off - one day prior to the weekend and one day after).

Duration : 3 month extending contract

Job Description :

A large healthcare insurance company local to the Philadelphia area is looking for to hire a fully remote Case Management RN to join their Care management team. Under the direction of a designated Care Management and Coordination Supervisor, performs telephonic or onsite review of hospital admissions, determining alternative settings when appropriate. Works to add value to healthcare by encouraging efficient and high quality use of the healthcare delivery system. Promotes timely and dynamic discharge planning to facilitate early discharge and refers cases to Case Management when indicated. Efficiently collaborates with the hospital utilization review department, attending physicians and members / families as appropriate.

  • This position will require one weekend a month (will have the two weekdays off - one day prior to the weekend and one day after).
  • Must Haves

  • Active RN License (NJ, PA, DE)
  • Must be ok working remotely from home / previous experience working from home
  • 3 years of acute care clinical experience in a hospital or other healthcare setting
  • Prior discharge planning and concurrent review experience and / or utilization management experience
  • Familiarity with InterQual standards
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