Concurrent Review Nurse RN - Remote

Overview The Alliance is seeking a Concurrent Review Nurse RN to join the Utilization Management Department, responsible for reviewing acute in-patient care services and participating in the UM Care Program. In Short • Perform concurrent or post-service review of acute in-patient care services. • Participate in the Utilization Management Care Program. • Knowledge of Utilization Management and Case Management principles. • Ability to demonstrate strong critical thinking and problem-solving skills. • Navigate and evaluate electronic medical records. • Current unrestricted RN license in California required. • Associate’s degree in Nursing with relevant experience. • Hybrid work environment with remote interview process. • Attendance at quarterly events may be required. • Compensation based on qualifications and location. Requirements • Knowledge of Utilization Management and Case Management principles. • Understanding of Medi-Cal policies and Title 22 regulations. • Strong critical thinking and problem-solving skills. • Experience in an acute care setting. • Current RN license in California. • Ability to evaluate healthcare data. • Excellent communication skills. • Ability to exercise good judgment in healthcare settings. • Education in Nursing with relevant experience. • Ability to work in a hybrid environment. Benefits • Medical, Dental, and Vision Plans. • Ample Paid Time Off. • 12 Paid Holidays per year. • 401(a) Retirement Plan. • 457 Deferred Compensation Plan. • Robust Health and Wellness Program. • Onsite EV Charging Stations. Apply Job!