Registered Nurse Utilization Review

apartmentRegistered Healthcare LLC placeSanta Rosa calendar_month9/11/24

Job Title: Registered Nurse Utilization Review

Shift: Day 5x8-Hour (08:00 - 16:30)
Job Duration: 13(weeks)
Orientation: 40 hours @ $0 Non-Billable
Description: All RTO must be submitted upfront.

Requirements: 2-year acute medical Care Manager experience performing Care Coordination and Admission Reviews. Must have strong Utilization Review skillset. Will accept first time travelers. Must have CA license.

Admission Criteria (InterQual) (MCG in NorCal) (ED only)
Familiar with InterQual
Experience with HMOs, IPAs, etc.
Experience with Assessing patients, Care Coordination, and Discharge Planning
Knowledge of adoption/foster care, drug/alcohol abuse treatment options, patients experiencing homelessness, patients with mental health history or in crisis, advance directive, POLST, protective services process, etc.
Epic Experience Preferred
Computerized documentation, required.
2-year acute medical Care Manager experience performing Care Coordination and Admission Reviews
Weekend rotation
Case Load up to 25 patients
COVID-19 Vaccine (Facility Guideline): Required - Medical Exemptions Only

Job Types: Contract, Full-time

Salary: $60.00 per hour

Schedule:

5x8
Day shift

Ability to commute/relocate:

Santa Rosa, CA 95403: Reliably commute or planning to relocate before starting work (Preferred)

Experience:

Utilization review: 1 year (Required)
Care Manager: 2 years (Required)
Epic: 1 year (Preferred)

License/Certification:

CA State RN License (Required)

Work Location: In person

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