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Pyramid Consulting (Travel) is seeking a local contract nurse RN Care Manager for a local contract nursing job in Philadelphia, Pennsylvania. Job Description & Requirements • Specialty: Care Manager, • Discipline: RN, • Start Date: 12/22/2025, • Duration: 13 weeks, • 40 hours per week, • Shift: 8 hours, days, • Employment Type: Local Contract Job Title: Care Management Coordinator RN Location: Remote Shift: Days Duration: 13 Weeks Job Summary • The Care Management Coordinator primary responsibility is to evaluate a member’s clinical condition through the review of medical records (including medical history and treatment records) to determine the medical necessity for patient’s services based on advanced knowledge and independent analysis of those medical records and application of appropriate medical necessity criteria., • If necessary, the Care Management Coordinator directly interact with providers to obtain additional clinical information., • The Care Management Coordinator has the authority to commit the company financially by independently authorizing services determined to be medically necessary based on their personal review., • For those cases that do not meet established criteria, the Care Management Coordinator provides relevant information regarding members medical condition to the Medical Director for their further review and evaluation., • The Care Management Coordinator has the authority to approve but cannot deny the care for patients. The Care Management Coordinator is also responsible for maintaining regulatory compliance with federal, state and accreditation regulations., • Additionally, the Care Management Coordinator acts a patient advocate and a resource for members when accessing and navigating the health care system. Key Responsibilities • Applies critical thinking and judgement skills based on advanced medical knowledge to cases utilizing specified resources and guidelines to make case determination. Utilizes resources such as; InterQual, Care Management Policy, Medical Policy and Electronic Desk References to determine the medical appropriateness of the proposed plan., • Utilizes the medical criteria of InterQual and/or Medical Policy to establish the need for inpatient, continued stay and length of stay, procedures and ancillary services., • Note: InterQual - It is the policy of the Medical Affairs Utilization Management (UM) Department to use InterQual (IQ) criteria for the case review process when required. IQ criteria are objective clinical statements that assist in determining the medical appropriateness of a proposed intervention which is a combination of evidence-based standards of care, current practices, and consensus from licensed specialists and/or primary care physicians. IQ criteria are used as a screening tool to support a clinical rationale for decision making., • Contacts servicing providers regarding treatment plans/plan of care and clarifies medical need for services., • Reviews treatment plans/plan of care with provider for requested services/procedures, inpatient admissions or continued stay, clarifying medical information with provider if needed., • Identifies and refers cases in which the plan of care/services are not meeting established criteria to the Medical Director for further evaluation determination., • Performs early identification of members to evaluate discharge planning needs., • Collaborates with case management staff or physician to determine alternative setting at times and provide support to facilitate discharge to the most appropriate setting., • Reports potential utilization issues or trends to designated manager and recommendations for improvement., • Appropriately refers cases to the Quality Management Department and/or Care Management and Coordination Manager when indicated to include delays in care., • Appropriately refers cases to Case and Disease Management., • Ensures request is covered within the member’s benefit plan., • Ensures utilization decisions are compliant with state, federal and accreditation regulations., • Meets or exceeds regulatory turnaround time and departmental productivity goals when processing referral/authorization requests., • Ensures that all key functions are documented via Care Management and Coordination Policy., • Maintains the integrity of the system information by timely, accurate data entry., • Performs additional duties assigned. Qualifications: • Active PA Licensed RN, • BSN Preferred, • Minimum of three (3) years of Medical/Surgical experience., • Previous Acute Hospital Utilization management/ IQ experience Knowledge, & Skills • Exceptional communication, problem solving, and interpersonal skills., • Action oriented with strong ability to set priorities and obtain results., • Team Player - builds team spirit and interdepartmental rapport, using effective problem solving and motivational strategy., • Open to change, comfortable with new ideas and methods; creates and acts on new opportunities; is flexible and adaptable., • Embrace the diversity of our workforce and show respect for our colleagues internally and externally., • Excellent organizational planning and prioritizing skills., • Ability to effectively utilize time management., • Oriented in current trends of medical practice.

Pyramid Consulting (Travel) is seeking a local contract nurse RN Acute Care Case Management for a local contract nursing job in Philadelphia, Pennsylvania. Job Description & Requirements • Specialty: Acute Care Case Management, • Discipline: RN, • Start Date: 01/12/2026, • Duration: 12 weeks, • 40 hours per week, • Shift: 8 hours, days, • Employment Type: Local Contract Title: Care Management Coordinator/RN Location: 100% Remote Duration: 03 months contract (Temp to Hire) PR Range: $45.00 /hr. Employee benefits include, but are not limited to, health insurance (medical, dental, vision), 401(k) plan, and paid sick leave (depending on work location). Position is remote - candidate must reside in the tri-state area (PA, DE, NJ) Must have an active PA license or a Nurse Licensure Compact to include PA. Job Description JOB TITLE: Care Management Coordinator Would work on Infusion Therapy Team DEPARTMENT: Care Management and Coordination Job Summary The Care Management Coordinator primary responsibility is to evaluate a member’s clinical condition through the review of medical records (including medical history and treatment records) to determine the medical necessity for patient’s services based on advanced knowledge and independent analysis of those medical records and application of appropriate medical necessity criteria. If necessary, the Care Management Coordinator directly interacts with providers to obtain additional clinical information. The Care Management Coordinator has the authority to commit the company financially by independently authorizing services determined to be medically necessary based on their personal review. For those cases that do not meet established criteria, the Care Management Coordinator provides relevant information regarding members medical condition to the Medical Director for their further review and evaluation. The Care Management Coordinator has the authority to approve but cannot deny the care for patients. The Care Management Coordinator is also responsible for maintaining regulatory compliance with federal, state and accreditation regulations. Additionally, the Care Management Coordinator acts a patient advocate and a resource for members when accessing and navigating the health care system. Key Responsibilities • Applies critical thinking and judgement skills based on advanced medical knowledge to cases utilizing specified resources and guidelines to make case determination., • Utilizes resources such as InterQual, Care Management Policy, Medical Policy and Electronic Desk References to determine the medical appropriateness of the proposed plan., • Utilizes the medical criteria of InterQual and/or Medical Policy to establish the need for inpatient, continued stay and length of stay, procedures and ancillary services., • Note: InterQual - It is the policy of the Medical Affairs Utilization Management (UM) Department to use InterQual (IQ) criteria for the case review process when required. IQ criteria are objective clinical statements that assist in determining the medical appropriateness of a proposed intervention which is a combination of evidence-based standards of care, current practices, and consensus from licensed specialists and/or primary care physicians. IQ criteria are used as a screening tool to support a clinical rationale for decision making., • Contacts servicing providers regarding treatment plans/plan of care and clarifies medical need for services., • Reviews treatment plans/plan of care with provider for requested services/procedures, inpatient admissions or continued stay, clarifying medical information with provider if needed., • Identifies and refers cases in which the plan of care/services are not meeting established criteria to the Medical Director for further evaluation determination., • Performs early identification of members to evaluate discharge planning needs., • Collaborates with case management staff or physicians to determine alternative setting at times and provide support to facilitate discharge to the most appropriate setting., • Reports potential utilization issues or trends to designated manager and recommendations for improvement., • Appropriately refers cases to the Quality Management Department and/or Care Management and Coordination Manager when indicated to include delays in care., • Appropriately refers cases to Case and Disease Management., • Ensures request is covered within the member’s benefit plan., • Ensures utilization decisions are compliant with state, federal and accreditation regulations., • Meets or exceeds regulatory turnaround time and departmental productivity goals when processing referral/authorization requests., • Ensures that all key functions are documented via Care Management and Coordination Policy., • Maintains the integrity of the system information by timely, accurate data entry.

Pyramid Consulting is seeking a local contract nurse RN Utilization Review Level III for a local contract nursing job in Philadelphia, Pennsylvania. Job Description & Requirements • Specialty: Utilization Review, • Discipline: RN, • Start Date: 01/12/2026, • Duration: 13 weeks, • 37.5 hours per week, • Shift: 8 hours, days, • Employment Type: Local Contract This position has potential to extend or convert into permanent and is fully Remote opportunity. Key Responsibilities • Applies critical thinking and judgement skills based on advanced medical knowledge to cases utilizing specified resources and guidelines to make case determination. Utilizes resources such as; InterQual, Care Management Policy, Medical Policy and Electronic Desk References to determine the medical appropriateness of the proposed plan., • Utilizes the medical criteria of InterQual and/or Medical Policy to establish the need for inpatient, continued stay and length of stay, procedures and ancillary services., • Note: InterQual - It is the policy of the Medical Affairs Utilization Management (UM) Department to use InterQual (IQ) criteria for the case review process when required. IQ criteria are objective clinical statements that assist in determining the medical appropriateness of a proposed intervention which is a combination of evidence-based standards of care, current practices, and consensus from licensed specialists and/or primary care physicians. IQ criteria are used as a screening tool to support a clinical rationale for decision making., • Contacts servicing providers regarding treatment plans/plan of care and clarifies medical need for services., • Reviews treatment plans/plan of care with provider for requested services/procedures, inpatient admissions or continued stay, clarifying medical information with provider if needed., • Identifies and refers cases in which the plan of care/services are not meeting established criteria to the Medical Director for further evaluation determination., • Performs early identification of members to evaluate discharge planning needs., • Collaborates with case management staff or physician to determine alternative setting at times and provide support to facilitate discharge to the most appropriate setting., • Reports potential utilization issues or trends to designated manager and recommendations for improvement., • Appropriately refers cases to the Quality Management Department and/or Care Management and Coordination Manager when indicated to include delays in care., • Appropriately refers cases to Case and Disease Management., • Ensures request is covered within the member’s benefit plan., • Ensures utilization decisions are compliant with state, federal and accreditation regulations., • Meets or exceeds regulatory turnaround time and departmental productivity goals when processing referral/authorization requests., • Ensures that all key functions are documented via Care Management and Coordination Policy., • Maintains the integrity of the system information by timely, accurate data entry. We are dedicated to accelerating growth, creating opportunities, and fostering an environment built on belonging, trust, and mutual respect. Our commitment is to help you find the best path to achieve your career goals. As a global leader in workforce and technology solutions, Pyramid Consulting, Inc. partners with clients to navigate competitive and ever-changing markets. Our award-winning family of brands — Pyramid Talent, Celsior, and GenSpark — works seamlessly together, delivering integrated solutions through multiple delivery models across five continents and 25+ countries. Since our founding in 1996, we’ve supported 125+ Fortune 500 companies across all major industries by engaging 6,500+ consultants worldwide. Join our talent network Looking for a job that aligns with your skills and ambitions? Join our talent network and enhance your job search experience with access to a broad range of job opportunities tailored to your background and interests. • Explore jobs: Visit our job portal to browse positions that suit your preferences. You can filter jobs by role, location, or industry to find the best match.

Pyramid Consulting (Travel) is seeking a local contract nurse RN Utilization Review for a local contract nursing job in Philadelphia, Pennsylvania. Job Description & Requirements • Specialty: Utilization Review, • Discipline: RN, • Duration: 13 weeks, • 40 hours per week, • Shift: 8 hours, days, • Employment Type: Local Contract Part Time UM RN with NICU experience RN license required or Nurse Licensure Compact that includes Pennsylvania for Registered Nurses licensed in another state and maintain their license in the name under which they are currently working. This position is remote - Full-time ONLY during training - 2-3 weeks, Must be available M-F for the training period. Permanent schedule - This position will be 5 full days over a two week period - 2 days (Mon & Tues) the 1st week, and 3 days (Wed, Thurs, & Fri) the 2nd week GENERAL SUMMARY: Under the direction of a designated Manager o, performs telephonic review of hospital admissions, recommending alternative levels of care 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. DUTIES AND RESPONSIBILITIES: Performs 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 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 member?s 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 ?KNOWLEDGE, SKILLS AND ABILITIES REQUIRED: Education and experience: Registered Nurse BS preferred. 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 is required. Skills: Exceptional communication skills on all levels Proficiency in using computerized applications Problem solving ability Organized, demonstrated excellent team management skills Team Player Part Time UM RN with NICU experience\nThis position is remote - Full-time ONLY during training - 2-3 weeks, Must be available M-F for the training period.\nPermanent schedule - This position will be 5 full days over a two week period - 2 days (Mon & Tues) the 1st week, and 3 days (Wed, Thurs, & Fri) the 2nd week

We’re unique. You should be, too. We’re changing lives every day. For both our patients and our team members. Are you innovative and entrepreneurial minded? Is your work ethic and ambition off the charts? Do you inspire others with your kindness and joy? We’re different than most primary care providers. We’re rapidly expanding and we need great people to join our team. *This is a full time role requiring Monday through Friday hours from 8am-5pm (no nights/weekends). You will be on-site at an assigned hospital daily from 9am-3pm, working remote for the remaining hours. The Acute Care Manager, Complex Care (RN) is responsible for achieving positive patient outcomes, managing quality of care across the continuum of care with efficient allocation of resources. This role will first and foremost serve as an advocate for our patients and families as they navigate through external providers and healthcare systems. The Acute Care Nurse is an important member of the Complex Care Team and will use all available resources and leverage other members of the healthcare care team to develop effective plans of care and with focus on delivering high levels of longitudinal care coordination. The Acute Care Nurse role also involves establishing relationships with patients’ families and care givers, primary care physicians, hospitalists, specialists, social workers, other case managers and nurses, acute and post-acute facilities, home health care companies, and health plans. The success of this role is determined by management of patients in hospital to ensure patients receive safe and timely discharge to the lowest level of care. This position will focus on health promotion for a senior population providing onsite hospital visits communicating and coordinating care with hospitalist/hospital staff and patient providing appropriate level of care recommendation (inpatient vs observation), using our internal charting system to report daily inpatient updates and working with hospital team on an expeditious discharge, planning to next level of care. The Acute Care Nurse anticipates the need for post-acute and/or long-term care, from day one (1) of hospital stay, providing support to all parties involved. Daily updates in our charting system are required on each patient using the hospitals EMR system and onsite reviews. Acute Care Nurse follows the patient throughout the continuum of care when patient discharges to a Skilled Nursing Facility (SNF) or Long-Term Care (LTC) to provide weekly updates on discharge and ensure that upon discharge patients is connect back to the care of the primary care provider. The Acute Care Nurse will provide warm hand off to the Community Care Nurse when patient is discharged to home and/or from post-acute care facilities. The Acute Care Nurse adheres to strict departmental goals/objectives, standards of performance, regulatory compliance, quality patient care compliance and policies and procedures.ESSENTIAL JOB DUTIES/RESPONSIBILITIES: • Daily presence of team members at assigned hospitals during core hours as determined by team workflow and that team maintains a balanced caseload., • Detects areas of opportunities regarding proper allocation of healthcare resources in an acute and post-acute setting. Identifies appropriateness of inpatient vs. observation status., • Recognizes and manages safety risks (completes a social assessment), identifies functional status (ADLs and PT needs), discusses medications and self-management, identifies and corrects knowledge deficits., • Supports, collaborates and partners with the Complex Care and Clinical Strategy Teams on the day-to-day execution of our acute care standard operating procedures., • Conducts hospital bedside discussion explaining our Care Management/Disease Management program with verbal introduction to their Community Care Manager for home visit once discharge to home from either inpatient or skilled nursing facility (SNF)., • Implements the ACM Coaching program with the appropriate patient population., • Identifies from day one (1) of hospital stay any barriers for a safe discharge back to the community., • Seeks assistance from ChenMed’s specialists when needed to support the care of our patients in healthcare facilities., • In markets as appropriate, when patient is in SNF, in conjunction with the post-acute physician, coordinates the transition to a lower level of care as soon as appropriate using a preferred provider if further services are needed., • Facilitates discharge to appropriate level of care and preferred providers., • Communicates discharge to all stakeholders including patient, patient’s family or designee, PCP, center leadership and Community Care Nurse., • Documents the appropriate date that the patient is medically discharged and updates as appropriate., • Performs Social Determinates of Health (SDoH) screening with each patient on every admission and communicates to our Community Social Workers or PCPs when a need is identified., • Identifies new diagnosis during acute stay and provides PCP with documentation to review and add to patient problem list., • Contacts center leadership or designee to arrange for a 4-day follow-up PCP appointment prior to discharge and whenever possible, communicates this information to the patient/caregiver., • Offers and discusses with patients’ the benefit of our CCM or DM programs and identify patient interest in participation as appropriate., • Coordinates acute UR physician meetings., • Performs other duties as assigned and modified at manager’s discretion., • Strong interpersonal and communication skills and the ability to work effectively with a wide range of constituencies in a diverse community, • Critical thinking, organization and coordinating skills, • Ability to monitor, assess and record patients’ progress and adjust and plan accordingly, • Understanding utilization review and how to leverage with inpatient staff for possible reduction of medical cost on long length of stay patients, • Ability to plan, implement and evaluate individual patient care plans, • Knowledge of nursing and case management theory and practice, • Knowledge of patient care charts and patient histories, • Knowledge of clinical and social services documentation procedures and standards, • Knowledge of community health services and social services support agencies and networks, • Ability to communicate technical information to non-technical personnel, • Proficient in Microsoft Office Suite products including Excel, Word, PowerPoint, and Outlook, plus a variety of other word-processing, spreadsheet, database, e-mail and presentation software, • Ability and willingness to travel locally, regionally, and nationwide up to 10% of the time, • Spoken and written fluency in English, bilingual preferred, • Bachelor’s Degree in nursing (BSN) or RN with bachelor’s degree in a related clinical field preferred, • A valid, active Registered Nurse (RN) license in State of employment required, • Compact License preferred for states where compact license is available, • A minimum of two (2) years’ clinical work experience required, • A minimum of one (1) year of utilization review and/or case management, home health, hospital discharge planning experience required, • A minimum of one (1) year of case management experience in acute case management or community case management experience highly desired, • Basic Life Support (BLS) certification from the American Heart Association (AMA) or American Red Cross required within first 90 days of employment, • This position requires possession and maintenance of a current, valid driver’s license We’re ChenMed and we’re transforming healthcare for seniors and changing America’s healthcare for the better. Family-owned and physician-led, our unique approach allows us to improve the health and well-being of the populations we serve. We’re growing rapidly as we seek to rescue more and more seniors from inadequate health care. ChenMed is changing lives for the people we serve and the people we hire. With great compensation, comprehensive benefits, career development and advancement opportunities and so much more, our employees enjoy great work-life balance and opportunities to grow. Join our team who make a difference in people’s lives every single day. Current Employee apply ___ Current Contingent Worker please see job aid ___ to apply #LI-Onsite

Job Description About Us Ennoble Care is a mobile primary care, palliative care, and hospice service provider with patients in New York, New Jersey, Maryland, DC, Virginia, Oklahoma, Kansas, Pennsylvania, and Georgia. Ennoble Care's clinicians go to the home of the patient, providing continuum of care for those with chronic conditions and limited mobility. Ennoble Care offers a variety of programs including, remote patient monitoring, behavioral health management, and chronic care management, to ensure that our patients receive the highest quality of care by a team they know and trust. We seek individuals who are driven to make a difference and embody our motto, "To Care is an Honor." Join Ennoble Care today! Purpose: Ennoble Care is hiring for a full-time Hospice RN Case Manager who resides within or in close proximity to Philadelphia, PA. As a member of the interdisciplinary team, the RN Case Manager works under the general direction of the Director of Nursing, the attending physician and the interdisciplinary group in providing skilled nursing assessments, planning, and care in order to maximize the comfort and health of both patients and their loved ones/caregivers. What You'll Do: • Manage your assigned patient caseload within your territory and be responsible for the following tasks, including but not limited to: assessing, planning, implementing, and evaluating of patients care throughout all phases of the nursing process., • Document all notes in the EMR and submit them accurately and in a timely manner, • Communicate and partner cross-departmentally with all attending physicians, hospice staff members, and other agencies as needed to coordinate optimal care for all patients, • Educate and coach all relevant parties on the best practices regarding call levels of care for the patient including: physical, mental, emotional, etc, • Partner with clinical leadership to manage/address any issues, share professional support, and exchange feedback to enhance professional growth., • Attend patient care conferences and facilitate discussion of issues from caseload for full staff discussion, consultation and evaluation, • Supervise and document the NAC every two weeks or as assigned, • Assume the role of associate nurse when responding to patient/loved ones/caregivers of other primary nurses during off hours time or as requested by the Patient Care Coordinator to fill patient/family needs during the absence of other primary nurses, • Provide appropriate support at time of death and period of bereavement for family members and loved ones, • Participate in the Hospice orientation, in-service training, and community programs as related to hospice care, • Maintain familiarity with policies of the agency and rules and regulations of State and Federal bodies which govern hospice, • Valid State license to practice as a Registered Nurse in the State of Pennsylvania, • 1-2+ years of work experience as a professional nurse preferably at least one of the years in hospice care, • Ability to assess and respond to the needs of patients and loved ones/caregivers in varied settings., • Skilled in nursing practice, able to cope with loved ones/caregivers' emotional stress and tolerant of individual lifestyles, • Ability to make meaningful observations, skilled assessments, and write comprehensive, accurate reports, • Must be a team player who supports an interdisciplinary team concept of caring for patient and loved ones/caregivers, • Must have a valid driver's license, a good driving record, the use of a reliable vehicle, and the ability to drive year-round to locations, • A flexible schedule - so you can see your patients on a schedule that works for you, • Autonomy - so you can feel trusted to provide the best care possible, • Support - from our in house clinical team with any requests, • Growth - the opportunity to step into leadership positions, • Mileage Reimbursement #purple Full-time employees qualify for the following benefits: • Medical, Dental, Vision and supplementary benefits such as Life Insurance, Short Term and Long Term Disability, Flexible Spending Accounts for Medical and Dependent Care, Accident, Critical Illness, and Hospital Indemnity., • Paid Time Off, • Paid Sick Time, • 401(k) with up to 3% company match, • Referral Program