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Utilization Management RN
Job Location:
Job Location:
Philadelphia, PA - USA
Hourly Salary:
USD 45 - 45
Hourly Salary:
Posted:
23 September 2026 (18 hours ago)
Posted:
Application Deadline:
21 December 2026
Application Deadline:
Vacancies:
1 Vacancy
Vacancies:
Job Summary
Innova Solutions has a client that is immediately hiring for a Utilization Management RN
Position type: Part Time Contract to hire
Duration: 03 Months
Location: Philadelphia PA
As a Utilization Management RN you will:
Preferred Qualification:
This position is only open to applicants who can be engaged on a W-2 basis.
Please hit APPLY to provide the required information and we will be back in touch as soon as possible.
We are currently interviewing to fill this and other similar positions. If this role is not a fit for you we do offer a referral bonus program for referrals that we successfully place with our clients subject to program guidelines. ASK ME HOW.
Thank you!
Thank you!
Gandam Meghana
PAY RANGE AND BENEFITS:
Pay Range*: $40 - $45 per hour
*Pay range offered to a successful candidate will be based on several factors including the candidates education work experience work location specific job duties certifications etc.
Benefits: Innova Solutions offers benefits( based on eligibility) that include the following: Medical & pharmacy coverage Dental/vision insurance 401(k) Health saving account (HSA) and 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 and other types of paid leaves (as required by law) Employee Assistance Program (EAP).
ABOUT INNOVA SOLUTIONS: Founded in 1998 and headquartered in Atlanta Georgia Innova Solutions employs approximately 50000 professionals worldwide and reports an annual revenue approaching $3 Billion. Through our global delivery centers across North America Asia and Europe we deliver strategic technology and business transformation solutions to our clients enabling them to operate as leaders within their fields.
Recent Recognitions:
Named One of Americas Best Employers for New Grads by Forbes (2024
Named One of the Best Companies to Work For by U.S. News & World Report (Private Companies List 2024-2025)
One of the Largest IT Staffing Firms in the US Ranked #3 by Staffing Industry Analysts (SIA 2024)
One of the Largest Staffing Firms in the US Ranked #13 by Staffing Industry Analysts (SIA 2024; includes Innova Solutions Volt & HireGenics)
Named One of the Top Ten Private Companies in Atlanta by the Atlanta Business Chronicle (2023)
One of the Largest Certified Minority Business Enterprises (MBEs) in the United States (NMSDC 2024)
AWS Advanced Tier Services Partner with 100 certifications
Website: Solutions offers a referral bonus for qualified Ambassadors who refer eligible referrals. Submit referrals at
and earn $250-$1000 per referral
Innova Solutions is an Equal Opportunity Employer and prohibits any kind of unlawful discrimination and harassment. Innova Solutions is committed to the principle of equal employment opportunity for all employees and to providing employees with a work environment free of discrimination and harassment on the basis of race color religion or belief national origin citizenship social or ethnic origin sex age physical or mental disability veteran status marital status domestic partner status sexual orientation or any other status protected by the statutes rules and regulations in the locations where it operates. If you are an individual with a disability and need a reasonable accommodation to assist with your job search or application for employment please contact us at or . Please indicate the specifics of the assistance needed. Innova Solutions encourages all interested and qualified candidates to apply for employment opportunities. Innova Solutions (HireGenics/Volt) does not discriminate against applicants based on citizenship status immigration status or national origin in accordance with 8 U.S.C. 1324b.
The company will consider for employment qualified applicants with arrest and conviction records in a manner that complies with the San Francisco Fair Chance Ordinance the Los Angeles Fair Chance Initiative for Hiring Ordinance and other applicable laws.
By applying for this job you agree to receive calls AI-generated calls text messages or emails from Innova Solutions and its affiliates and contracted partners. Frequency varies for text messages. Message and data rates may apply. Carriers are not liable for delayed or undelivered messages. You can reply STOP to cancel and HELP for help. You can access our privacy policy at Privacy Policy - innovasolutions.
Position type: Part Time Contract to hire
Duration: 03 Months
Location: Philadelphia PA
As a Utilization Management RN you will:
- Perform telephonic utilization management for inpatient admissions.
- 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 meet 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.
- Collaborate with hospital case management staff physicians and family to determine alternative settings at times and provide support to facilitate discharge to the most appropriate setting.
- Identifies and refers for case management and disease management.
- Identifies quality of care issues including delays in care. Appropriately refers to 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 supervisors and recommendations for improvement.
- Participates in the process of educating providers on managed care.
- Active PA RN license or compact license to include PA.
- Minimum of three (3) years of acute care clinical experience in a hospital or other health care setting.
- Prior discharge planning and/or utilization management experience.
Preferred Qualification:
- BSN
This position is only open to applicants who can be engaged on a W-2 basis.
Please hit APPLY to provide the required information and we will be back in touch as soon as possible.
We are currently interviewing to fill this and other similar positions. If this role is not a fit for you we do offer a referral bonus program for referrals that we successfully place with our clients subject to program guidelines. ASK ME HOW.
Thank you!
Thank you!
Gandam Meghana
PAY RANGE AND BENEFITS:
Pay Range*: $40 - $45 per hour
*Pay range offered to a successful candidate will be based on several factors including the candidates education work experience work location specific job duties certifications etc.
Benefits: Innova Solutions offers benefits( based on eligibility) that include the following: Medical & pharmacy coverage Dental/vision insurance 401(k) Health saving account (HSA) and 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 and other types of paid leaves (as required by law) Employee Assistance Program (EAP).
ABOUT INNOVA SOLUTIONS: Founded in 1998 and headquartered in Atlanta Georgia Innova Solutions employs approximately 50000 professionals worldwide and reports an annual revenue approaching $3 Billion. Through our global delivery centers across North America Asia and Europe we deliver strategic technology and business transformation solutions to our clients enabling them to operate as leaders within their fields.
Recent Recognitions:
Named One of Americas Best Employers for New Grads by Forbes (2024
Named One of the Best Companies to Work For by U.S. News & World Report (Private Companies List 2024-2025)
One of the Largest IT Staffing Firms in the US Ranked #3 by Staffing Industry Analysts (SIA 2024)
One of the Largest Staffing Firms in the US Ranked #13 by Staffing Industry Analysts (SIA 2024; includes Innova Solutions Volt & HireGenics)
Named One of the Top Ten Private Companies in Atlanta by the Atlanta Business Chronicle (2023)
One of the Largest Certified Minority Business Enterprises (MBEs) in the United States (NMSDC 2024)
AWS Advanced Tier Services Partner with 100 certifications
Website: Solutions offers a referral bonus for qualified Ambassadors who refer eligible referrals. Submit referrals at
and earn $250-$1000 per referral
Innova Solutions is an Equal Opportunity Employer and prohibits any kind of unlawful discrimination and harassment. Innova Solutions is committed to the principle of equal employment opportunity for all employees and to providing employees with a work environment free of discrimination and harassment on the basis of race color religion or belief national origin citizenship social or ethnic origin sex age physical or mental disability veteran status marital status domestic partner status sexual orientation or any other status protected by the statutes rules and regulations in the locations where it operates. If you are an individual with a disability and need a reasonable accommodation to assist with your job search or application for employment please contact us at or . Please indicate the specifics of the assistance needed. Innova Solutions encourages all interested and qualified candidates to apply for employment opportunities. Innova Solutions (HireGenics/Volt) does not discriminate against applicants based on citizenship status immigration status or national origin in accordance with 8 U.S.C. 1324b.
The company will consider for employment qualified applicants with arrest and conviction records in a manner that complies with the San Francisco Fair Chance Ordinance the Los Angeles Fair Chance Initiative for Hiring Ordinance and other applicable laws.
By applying for this job you agree to receive calls AI-generated calls text messages or emails from Innova Solutions and its affiliates and contracted partners. Frequency varies for text messages. Message and data rates may apply. Carriers are not liable for delayed or undelivered messages. You can reply STOP to cancel and HELP for help. You can access our privacy policy at Privacy Policy - innovasolutions.
