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Inpatient Utilization Review Nurse Job

Eingestellt von Yoh

Gesuchte Skills: Client

Projektbeschreibung

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

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 (1) 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 Day & Zimmermann company, is an Equal Opportunity Employer, M/F/D/V. Contact us if you are an individual with a disability and require accommodation in the application process.

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Ref:

SFSF: REN

Projektdetails

  • Vertragsart:

    Contract

  • Berufserfahrung:

    Keine Angabe

Geforderte Qualifikationen

  • Kategorie:

    IT Entwicklung

  • Skills:

    client

Yoh