California RN Utilization Manager

Location: Remote
Compensation: Salary
Staff Reviewed: Thu, Jan 02, 2025
This job expires in: 13 days

Job Summary

A company is looking for an RN Utilization Management.

Key Responsibilities
  • Perform initial and concurrent review of inpatient cases using InterQual criteria
  • Collaborate with healthcare professionals and Medical Directors to manage utilization effectively
  • Identify delays in care and ensure compliance with operational procedures

Required Qualifications
  • Undergraduate degree or equivalent experience
  • Unrestricted RN license in the state of California
  • 3+ years of Managed Care and/or Clinical experience
  • Willingness to work 8:00 AM - 5:00 PM PST

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