California Licensed Utilization Review Nurse

Job Summary

A company is looking for a Utilization Review Nurse to support client healthcare needs remotely in California.

Key Responsibilities

• Conduct concurrent reviews of inpatient activities to ensure appropriate care levels and durations
• Collaborate with healthcare providers to identify and resolve care issues, making recommendations for transfers and discharge planning
• Document activities accurately and compile data for routine reporting

Required Qualifications

• Graduate of an accredited nursing program
• Minimum of three years of clinical experience as a Registered Nurse in a hospital or clinic setting
• Unrestricted Registered Nurse license in the State of California
• Preferred experience in case management, utilization management, or discharge planning
• Preferred experience working with Medi-Cal and/or Medicare populations