Registered Nurse (RN) - Utilization Review - $50-65 per hour

Community Medical CentersFresno, CA, United States

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Community Medical Centers is seeking a Registered Nurse (RN) Utilization Review for a nursing job in Fresno, California.

Job Description & Requirements

Specialty : Utilization Review
Discipline : RN
Duration : Ongoing
36 hours per week
Shift : 12 hours, days
Employment Type : Staff

Overview :

Hybrid positions are located in Fresno / Clovis CA

Opportunities for you!

Consecutively recognized as a top employer by Forbes

Vacation time starts building on Day 1, and builds with your seniority

403(b) retirement plan with up to 8% matching contributions

Free parking and electric charging

Great food options with on-demand ordering

Commitment to diversity and inclusion is a cornerstone of our culture at Community. All are welcome as valued members of our community.

We know that our ability to provide the highest level of care is through taking care of our incredible teams. Want to learn more? Click here.

Responsibilities :

Responsible for various aspects of utilization management to ensure that care is rendered in accordance with intensity of service and severity of illness standards at all times during the acute stay, utilizing InterQual system as a guideline. Works collaboratively with the Case Management team, other departments, and physicians to facilitate efficient and appropriate management of all cases.

Qualifications : Education

Associate's Degree in Nursing required

Bachelor's Degree in Nursing preferred

Experience

2 years of clinical nursing experience required (med surg preferred)

Experience with EPIC and the utilization software InterQual.

Experience in discharge planning, case management, or utilization review preferred

Experience in a fast-paced, high-volume hospital environment preferred

Licenses and Certifications

RN - Current and valid Registered Nurse license to work within the state of California required

BLS - Current Basic Life Support (BLS) for Healthcare Providers by American Heart Association (AHA) required

ACM - Accreditation in Case Management preferred

CCM - Certified Case Management preferred

Disclaimers :

Pay ranges listed are an estimate and subject to change.

If any bonuses are noted, they are only applicable to external hires meeting criteria.

Community Medical Centers Job ID #2025-47423. Posted job title : Utilization Review Coordinator

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Registered Nurse Rn • Fresno, CA, United States