California Licensed Concurrent Review Nurse

A company is looking for a Concurrent Review Nurse (RN) (Temporary).

Key Responsibilities

Performs concurrent, post-service, and retrospective reviews of acute in-patient care services using established criteria

Participates in the Utilization Management (UM) Care Programs

Required Qualifications, Training, and Education

Current unrestricted license as a Registered Nurse issued by the State of California

Associate's degree in Nursing with a minimum of five years of experience in an acute care setting, including experience in Utilization Management or Case Management

Knowledge of clinical nursing principles and practices

Understanding of the Medi-Cal program and related regulations, Title 22, and CMS regulations

Experience in utilization management and / or case management practices