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.
Associates 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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