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Utilization Management Nurse Job

Eingestellt von Yoh

Gesuchte Skills: Client, Network

Projektbeschreibung

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

TOP SKILLS YOU SHOULD POSSESS:

- Experience in utilization review/utilization management
- Health Plan Experience

WHAT YOU'LL BE DOING:

- Conduct utilization reviews at inpatient facilities, including acute care, and/or process authorization requests for various services
- Review authorization requests for out-of-network inpatient facilities
- Provide care coordination of members who are transitioning from one level of care to another

WHAT YOU NEED TO BRING TO THE TABLE:

- California RN license
- Two (2) plus years clinical nursing experience
- Bilingual in Cantonese preferred, not required
- Experience with utilization management, disease management, and coordination of care within a managed care/health plan environment
- Knowledge of Medicare and Medi-Cal coverage requirements and regulatory guidelines

WHAT'S IN IT FOR YOU?

We welcome you to be a part of the largest global staffing companies to meet your career aspirations.

- Medical, Dental & Vision Benefits
- 401K Retirement Saving Plan
- Life & Disability Insurance
- Direct Deposit & weekly epayroll
- Employee Discount Program's
- Referral Bonus Program's

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.

J2W: HC

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Ref:

SFSF: HC

Projektdetails

  • Einsatzort:

    San Francisco, Vereinigte Staaten

  • Projektbeginn:

    asap

  • Projektdauer:

    Keine Angabe

  • Vertragsart:

    Contract

  • Berufserfahrung:

    Keine Angabe

Geforderte Qualifikationen

Yoh