1 Registered Nurse - Utilization Review Job in Torrance, CA
Talent Software services is Hiring a Registered Nurse - Utilization Review Near Torrance, CA
- Oversee utilization management and review of patients care delivery while in the hospital and provide clinical reviews and denial appeals where appropriate either during admission or post discharge.
- Bachelor's Degree in Nursing (BSN).
- Must obtain a Bachelor's degree in Nursing or higher within (5) years of hire. Any previously agreed upon effective date for obtaining a Bachelor's degree in nursing between individual and facility will remain in effect.
- Any collective bargaining contract with specific time frames for obtaining a Bachelor's degree in nursing will supersede the above point and will remain in effect.
- Exceptions will be considered on a case-by-case basis at each facility by the most senior administrative nursing leader in consultation with the Human Resources leader.
- Experience as an RN in an acute care setting within the last 5 years, OR recent Utilization Management experience
- Utilization review or case management experience
- Experience with Inter qual or Milliman Criteria
- Care Management, medical insurance or discharge planning experience
- 1 year of experience with Neonatal Intensive Care (NICU) clientele
Job Summary
Full Time
IT Outsourcing & Consulting
$88k-110k (estimate)
06/19/2024
12/14/2024
talentemail.com
Minneapolis, MN
50 - 100
IT Outsourcing & Consulting
Related Companies
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