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Utilization Management Nurse Job
Eingestellt von Yoh
Gesuchte Skills: Client, Network
Projektbeschreibung
TOP SKILLS YOU SHOULD POSSESS:
- Experience in utilization review/utilization management
- Health Plan Experience
WHATYOU'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
- 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
BONUS POINTS! OTHERWISE KNOWN AS PREFERRED QUALIFICATIONS:
- Bachelor's degree in nursing or a related health services field
WHAT ARE YOU WAITING FOR? APPLY NOW!
RECRUITER: Annie Gill
Yoh, a Day & Zimmermann company, is an Equal Opportunity Employer, M/F/D/V.
J2W: HC
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Ref:
SFSF: REN
Projektdetails
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Einsatzort:
San Francisco, Vereinigte Staaten
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Projektbeginn:
asap
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Projektdauer:
Keine Angabe
- Vertragsart:
-
Berufserfahrung:
Keine Angabe
Geforderte Qualifikationen
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Kategorie:
IT Entwicklung