Concurrent Review Nurse Job - (merced, california)
Concurrent Review Nurse needed for a contract opportunity with Yohs client located in Merced, CA.
The Big Picture :
Top Skills You Should Possess:
:
Utilization Review Experience :
Case Management Experience :
Registered Nurse What Youll Be Doing:
:
Responsible for concurrent and/or post service review of acute in:
patient care services :
Participate in the utilization management transitions of care program to achieve goals of improved member outcomes :
Coordinate and facilitates a preauthorization review system for outpatient services to expedite hospital discharges :
Maintain documentation of clinical reviews in utilization management software system according to policy :
Review medical records to determine benefit coverage including appropriateness and level of care :
Other duties as assigned What You Need to Bring to the Table:
:
One (1+) years of experience in utilization management, case management or equivalent :
Registered Nursing license in California :
Three (3+) years of experience an acute care setting preferred :
Working knowledge of Title 22 regulations and Medi:
Cal and related policies :
Advanced use of MS Office and Word Opportunity is Calling, Apply Now Recruiter:
Emi Flaherty Yoh makes finding and applying for jobs simple.
Partner with Yoh to find the right opportunities across multiple industries in the US and UK.
Find out more here Yoh, a Day and Zimmermann company, is an Equal Opportunity Employer, M/F/D/V.
J2W:
HC MONJOB J2WNWHLTH Ref:
SFSF:
HC Source:
.
Estimated Salary: $20 to $28 per hour based on qualifications.
The Big Picture :
Top Skills You Should Possess:
:
Utilization Review Experience :
Case Management Experience :
Registered Nurse What Youll Be Doing:
:
Responsible for concurrent and/or post service review of acute in:
patient care services :
Participate in the utilization management transitions of care program to achieve goals of improved member outcomes :
Coordinate and facilitates a preauthorization review system for outpatient services to expedite hospital discharges :
Maintain documentation of clinical reviews in utilization management software system according to policy :
Review medical records to determine benefit coverage including appropriateness and level of care :
Other duties as assigned What You Need to Bring to the Table:
:
One (1+) years of experience in utilization management, case management or equivalent :
Registered Nursing license in California :
Three (3+) years of experience an acute care setting preferred :
Working knowledge of Title 22 regulations and Medi:
Cal and related policies :
Advanced use of MS Office and Word Opportunity is Calling, Apply Now Recruiter:
Emi Flaherty Yoh makes finding and applying for jobs simple.
Partner with Yoh to find the right opportunities across multiple industries in the US and UK.
Find out more here Yoh, a Day and Zimmermann company, is an Equal Opportunity Employer, M/F/D/V.
J2W:
HC MONJOB J2WNWHLTH Ref:
SFSF:
HC Source:
.
Estimated Salary: $20 to $28 per hour based on qualifications.
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