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Inpatient Utilization Review Nurse Job
Eingestellt von Yoh
Gesuchte Skills: Client
Projektbeschreibung
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
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Einsatzort:
Alameda, Vereinigte Staaten
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Projektbeginn:
asap
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Projektdauer:
Keine Angabe
- Vertragsart:
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Berufserfahrung:
Keine Angabe
Geforderte Qualifikationen
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Kategorie:
IT Entwicklung