Rn - Quality Assurance/utilization Review - Business Development - Full Time 8hr

Citrus Valley Health Partners

Base: $52.03 - $80.64; bonus/equity: not specified...
California rn license required
Three years utilization management experience
Medical records evaluation skills
The Utilization Review Nurse will evaluate medical records to determine medical necessity using clinical acumen and established policies

Job Summary

  • The Utilization Review Nurse will evaluate medical records to determine medical necessity using clinical acumen and established policies.
  • Emanate Health was named the #1 ranked healthcare system in the United States on Glassdoor's 'Best Places to Work' list in 2021.
  • This full-time role offers a pay range of $52.03 to $80.64 per hour.

Matching Summary

The Utilization Review Nurse will evaluate medical records to determine medical necessity using clinical acumen and established policies.

Salary

Base: $52.03 - $80.64; Bonus/Equity: Not specified; Benefits: Not specified

Skills & Requirements

Must-have

  • California RN license required
  • Three years utilization management experience
  • Medical records evaluation skills
  • Clinical judgment for level of care reviews

Nice-to-have

  • Experience in quality-related job roles
  • Excellent customer service skills
  • Computer proficiency required
  • Ability to refer cases to Medical Directors

Key Requirements

  • Minimum three years of utilization management experience
  • Valid California RN license
  • Computer proficiency
  • Excellent customer service skills

Work Rights

Not specified

Tailored Resume

Cover Letter