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Utilization Management Registered Nurse (RN) Job
Eingestellt von Yoh
Gesuchte Skills: Client
Projektbeschreibung
JOB OVERVIEW:
We are currently seeking a qualified candidate to work in the capacity of Utilization Management Registered Nurse. This is a Full time contract position.
JOB RESPONSIBILITIES:
- Provide short term care coordination for patients who are identified through the concurrent, prospective and retrospective review process.
- Work directly with primary and other care providers, maximizing benefits, using community resources, creating access and meeting the targeted needs of the individual patient and their families.
- Receive and review prior authorization requests for home health, PT/OT/ST, durable medical equipment and supplies and out of area services, and non-participating provider requests.
- Timely concurrent review of inpatient admissions.
- Communicate with admitting and/or the primary care physician with alternative methods to improve patient care.
- Assist in coordinating discharge planning and other individual care management activities as appropriate.
JOB QUALIFICATIONS:
- Current unrestricted California RN license.
- Bachelor's Degree in Nursing or other healthcare-related field preferred.
- Previous managed care experience is preferred.
- Minimum three (3) three years of experience in acute care hospital setting is preferred.
- Experience in applying medical management criteria (ie InterQual, Milliman).
- Some familiarity with Title 22, Title 10, etc.
DISCOVER ALL THAT'S POSSIBLE WITH YOH. APPLY NOW.
Yoh is a professional staffing provider with over 70 years of experience in the short- and long-term staffing services industry.
Yoh, a Day and Zimmermann company, is an Equal Opportunity Employer, M/F/D/V.
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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