Utilization Management Nurse - RN
VirtualVocationsSanta Ana, California, United Statesjob_description.job_card.variable_hours_ago
serp_jobs.job_preview.job_type
- serp_jobs.job_card.full_time
job_description.job_card.job_description
A company is looking for a Utilization Management Nurse to deliver comprehensive, patient-centered care while assessing individual needs and developing personalized care plans.
Key Responsibilities
Conduct timely reviews of utilization management (UM) activities and apply appropriate criteria
Collaborate with stakeholders to ensure compliance with regulatory standards and guidelines
Communicate UM decisions to healthcare providers and maintain accurate records of activities
Required Qualifications
Three (3) or more years of clinical nursing experience
One (1) or more years of utilization management experience
Active, unrestricted RN license in the state of residence
Ability to work independently in a fast-paced environment
Experience with confidentiality and handling sensitive information
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Rn Utilization Management • Santa Ana, California, United States
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