RN - Case Manager

Job Title: Utilization Review / Case Manager RN

Location: Honesdale, Pennsylvania 18431

Department: Case Management
Pay: $2500/weekly

Schedule:

• 8-hour Day Shifts

• Typical Hours: 7:00 AM – 3:30 PM or 8:00 AM – 4:30 PM

• Every other weekend and holiday rotation

About the Role

We are seeking an experienced Registered Nurse (RN) to join our team as a Utilization Review / Case Manager. The ideal candidate will have strong clinical judgment, excellent communication skills, and a thorough understanding of utilization management, discharge planning, and care coordination.

This position plays a vital role in ensuring appropriate resource utilization and promoting high-quality, cost-effective patient care in accordance with hospital and regulatory guidelines.

Responsibilities

• Conduct utilization review for patient admissions and continued stays.

• Collaborate with interdisciplinary teams to develop and implement care plans.

• Facilitate communication among providers, patients, and insurance companies.

• Coordinate discharge planning to ensure continuity of care.

• Maintain documentation in compliance with hospital and payer standards.

• Participate in performance improvement initiatives related to case management.

Qualifications

• Current, active Registered Nurse (RN) license in the state of Pennsylvania.

• Minimum of 2 years of clinical experience (acute care or case management preferred).

• Strong knowledge of utilization management processes and discharge planning.

• Excellent communication, critical thinking, and organizational skills.

• Ability to work independently and collaboratively in a fast-paced environment.

Why Join Us

• Collaborative, team-oriented environment.

• Consistent daytime schedule.

• Opportunity to make a direct impact on patient outcomes and care efficiency.