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Registered Nurse - Case Management
Company : Prime Healthcare Services
Location : Philadelphia, PA, 19128
Job Type : Contractor
Date Posted : 6 January 2026
Overview
Join an award-winning team of dedicated professionals committed to our core values of quality, compassion and community! Roxborough Memorial Hospital, a member of Prime Healthcare, offers incredible opportunities to expand your horizons and be part of a community dedicated to making a difference.
Roxborough Memorial Hospital is a 131-bed community hospital. The hospital has been serving the medical and health care needs of the Roxborough, Manayunk, East Falls and northwest section of Philadelphia communities for more than a century, having first opened its doors in 1890. Roxborough Memorial Hospitals School of Nursing has been educating nurses since 1898. The hospital is accredited by the Joint Commission on the Accreditation of Healthcare Organizations, the nation's oldest and largest hospital accreditation agency.
Responsibilities
Responsible for the quality and resource management of all patients that are admitted to the facility from the point of their admission and across the continuum of the health care management. Works on behalf of the advocate, promoting cost containment and demonstrates leadership to integrate the health care providers to achieve a perceived seamless delivery of care. The methodology is designed to facilitate and insure the achievement of quality, clinical and cost effective outcomes and to perform a holistic and comprehensive admission and concurrent review of the medical record for the medical necessity, intensity of service and severity of illness.
Qualifications
EDUCATION, EXPERIENCE, TRAINING 1. Starting April 1 2015. Minimum 5 years work experience post-graduation of an accredited school of nursing and a current state Registered Nurse license2. Grandfathered prior to April 1, 2015. Minimum 5 years post graduate of an accredited school Of Social Work for Licensed Clinical Social Worker. However, RN Case Manager preferred.3. Five years acute care nursing experience preferred. At least one year experience in case management, discharge planning or nursing management, preferred.4. Current BCLS certificate, preferred.5. Knowledge of Milliman Criteria and InterQual Criteria preferred.6. Experience and knowledge in basic to intermediate computer skills.Employment Status
Per DiemShift
DaysEqual Employment Opportunity
Company is an equal employment opportunity employer. Company prohibits discrimination against any applicant or employee based on race, color, sex, sexual orientation, gender identity, religion, national origin, age (subject to applicable law), disability, military status, genetic information or any other basis protected by applicable federal, state, or local laws. The Company also prohibits harassment of applicants or employees based on any of these protected categories. Know Your Rights: https://www.eeoc.gov/sites/default/files/2022-10/EEOC_KnowYourRights_screen_reader_10_20.pdf
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Frequently asked questions
Philadelphia's healthcare sector is robust, with steady demand for registered nurse case managers. Competition can be high due to the city's dense network of hospitals and clinics, but specialized skills in case management and knowledge of local healthcare protocols greatly enhance hiring prospects.
At Prime Healthcare Services, a Registered Nurse - Case Management integrates patient advocacy with resource coordination, focusing on seamless care transitions. This role involves comprehensive reviews of medical records and collaboration across healthcare teams to ensure quality and cost-effective patient outcomes.
Yes, certifications such as BCLS and familiarity with Milliman or InterQual criteria are highly valued in Philadelphia hospitals. These credentials support adherence to local healthcare standards and improve case managers' ability to evaluate clinical necessity efficiently.
Registered Nurse - Case Managers in Philadelphia typically earn between $75,000 and $95,000 annually, influenced by experience and certifications. This range aligns with regional healthcare salary trends and reflects the specialized responsibilities in case management nursing.
Choosing case management allows nurses to blend clinical expertise with leadership in coordinating patient care across multiple services. It suits professionals interested in holistic patient advocacy, cost containment, and shaping healthcare delivery strategies.
Ensuring seamless care in community hospitals requires navigating diverse patient needs and limited resources. Case managers must coordinate timely discharges, communicate with various providers, and handle socioeconomic factors impacting patient outcomes.
Prime Healthcare fosters professional development through exposure to diverse clinical cases and encourages continuous education. Their supportive environment emphasizes quality, compassion, and community, offering pathways for case managers to enhance leadership and clinical decision-making skills.
At Prime Healthcare Services, case managers carry a strong advocacy role emphasizing cost containment and integration of care providers. This leadership focus ensures not only patient welfare but also resource optimization, setting it apart from more traditional case management positions.