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Inpatient Review Nurse - CA Licensed

VirtualVocations
Oakland, California, United States
Full-time

A company is looking for an Inpatient Review Nurse (RN / LVN) with California licensure to join their utilization management team.

Key ResponsibilitiesPerform reviews of inpatients with complex medical and social problemsCoordinate care with healthcare providers and community resourcesMonitor and document clinical criteria as per UM policy and procedureRequired Qualifications, Training, and EducationCurrent, active, and unrestricted California Licensed Vocational NurseMinimum of 2 years of experience in a managed care setting as an inpatient case managerExperience with concurrent review and utilizing Milliman Care Guidelines (MCG)Minimum of 3 years of general case management experienceKnowledge of Medicare Managed Care Plans

1 day ago
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