Job Opportunities in United States
November 18, 2024
10bits
CONTRACT
Concurrent Review Nurse - Utilization Management
10bits is a Healthcare and Professional Staffing Company. From nursing staffing, temp to hire, and permanent to healthcare contracts, 10bits provides hospitals and medical facilities with high-quality clinical professionals with the highest standards and compliance to provide the best medical care.
Job Title: Concurrent Review Nurse - Utilization Management
Job Location: California - Remote
Job Type: Contract - 8 months
Job Duties:
Pay: $40.00 - $43.00 per hour
Schedule:
Job Title: Concurrent Review Nurse - Utilization Management
Job Location: California - Remote
Job Type: Contract - 8 months
Job Duties:
- Enter and maintain pertinent clinical information in various medical management systems.
- Nurses are expected to Review an average of 20 cases/day
- Performs concurrent reviews, including determining member's overall health, reviewing the type of care being delivered, evaluating medical necessity, and contributing to discharge planning according to care policies and guidelines.
- Assists evaluating inpatient services to validate the necessity and setting of care being delivered to the member.
- Conduct discharge planning.
- Educate providers on utilization and medical management processes.
- Graduate from an Accredited School of Nursing.
- ASN or BSN preferred Current state’s RN license.
- 2-4 years of experience in Utilization Management, Case Management, or Discharge Planning.
- Inter Qual reviews
- Concurrent Review
- Must have RN California License
- 8 am - 5 pm - PST
- Monday to Friday
Pay: $40.00 - $43.00 per hour
Schedule:
- 8 hour shift
- Day shift
- Monday to Friday
- hospital, managed care, UM: 2 years (Required)
- Inter Qual reviews: 1 year (Required)
- Concurrent Review: 1 year (Required)
- RN California License (Required)
- California (Required)
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