Nurse Practitioner - Utilization Review

Nurse Practitioner

Join the transformative team at City of Hope, where we're changing lives and making a real difference in the fight against cancer, diabetes, and other life-threatening illnesses. City of Hope’s growing national system includes its Los Angeles campus, a network of clinical care locations across Southern California, a new cancer center in Orange County, California, and treatment facilities in Atlanta, Chicago and Phoenix. our dedicated and compassionate employees are driven by a common mission : To deliver the cures of tomorrow to the people who need them today.

We have an exciting opportunity for a Nurse Practitioner to join our team in Duarte, CA. We are searching for candidates with Medical Oncology or Hematology experience, If you have a passion to care for oncology patients, we encourage you to apply for this role

As a successful candidate, you will :

Conduct utilization review of patient cases to ensure quality of care and appropriateness of services provided

Review medical records and other clinical information to ensure compliance with established standards and guidelines

Provide complex clinical information to insurance carriers and healthcare providers in peer to peer review.

Assist with obtaining revised requests for authorizations from physicians and help managing clinal override requests.

Utilize the City of Hope nursing process in clinical practice.

Develop and follow protocols / standardized procedures for practice for Nurse Practitioners in the department.

Assist in developing methods and systems for provision of medical care and overall department operations.

Maintain open lines of communication with the physician and multidisciplinary health team regarding patient information.

Develop and participate in performance improvement activities to evaluate the program's effectiveness in meeting patient care and departmental needs.

Enhance professional growth and development through participation in educational programs, reviewing current literature, attending in-service meetings, and workshops.

Your qualifications should include :

Master's Degree, or Doctorate Degree as Nurse Practitioner

Three years clinical experience

Required Certification / Licensure :

Current California RN license

California NP License

California NP Furnishing License within 6 months of hire

DEA within 6 months of hire

National NP Board Certification through accrediting body

Basic Life Support (BLS), CPR card through American Heart Association

ACLS and PALS “City of Hope employees pay is based on the following criteria : work experience, qualifications, and work location.” City of Hope is an equal opportunity employer.