RN Utilization Management Nurse - Inpatient - WCMC Utilization Management - Full Time - 8 Hour - PMs
John Muir Health
Walnut Creek, CA
19 days ago
$88.03 - $118.84
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Job Description
Join John Muir Health as an Inpatient RN Utilization Management Nurse, where you'll advocate for patients by managing inpatient care and ensuring the appropriate use of medical resources. This full-time role offers the opportunity to work closely with a multidisciplinary team to enhance care quality and improve patient outcomes.
Key Responsibilities
Provide patient advocacy through resource utilization.
Manage inpatient cases to ensure medical necessity of care.
Conduct prospective, concurrent, and retrospective reviews.
Participate in quality improvement activities and identify trends.
Communicate with payers regarding clinical and psychosocial information.
Required Qualifications
Bachelor of Science in Nursing
1 year Nursing - Utilization Review
RN Registered Nursing - California Board of Registered Nursing
Preferred Qualifications
2 years Case Management
3 years Nursing Medical/Surgical or Critical Care Nursing