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.

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