Inpatient UM Nurse Job

INPATIENT UTILIZATION MANAGEMENT NURSE needed for a CONTRACT opportunity with Yoh's client located in Alameda, CA.

TH TOP SKILLS YOU SHOULD POSSESS:

- Health Care or Managed Care Experience
- Utilization Review Experience

WHAT YOU'LL BE DOING:

- Perform timely concurrent review of inpatient admission to ensure it meets medical necessity guidelines
- Provide weekend coverage, when required, for assigned hospitals to ensure member discharge needs are met
- Perform bedside assessment and counseling of members, including discussions of goals and expectations upon discharge or transfer
- Use clinical judgment to assess and stratify members for appropriate levels of need and refer member to the Case and Disease Management department, if necessary
- Perform other duties as assigned

WHAT YOU NEED TO BRING TO THE TABLE:

- Active California Registered Nurse License or Masters in Social Work required
- One year experience in managed care or health care setting preferred
- Utilization Review or Case Management Experience
- Willing to travel to hospitals and clinics as needed
- Proficient in Windows and Microsoft Applications
- Excellent verbal and written communication skills
- Ability to work within guidelines and protocols to achieve decisions independently

WHAT ARE YOU WAITING FOR? APPLY NOW!

RECRUITER: Annie Gill

Yoh, a DayJ2W: PROF

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Ref:

SFSF: HC