Job Description
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
Β Perform concurrent or post-service review of acute in-patient care services.
Β Participate in the Utilization Management Care Program.
Β Knowledge of Utilization Management and Case Management principles.
Β Ability to demonstrate strong critical thinking and problem-solving skills.
Β Navigate and evaluate electronic medical records.
Β Current unrestricted RN license in California required.
Β AssociateΒs degree in Nursing with relevant experience.
Β Hybrid work environment with remote interview process.
Β Attendance at quarterly events may be required.
Β Compensation based on qualifications and location.
Requirements
Β Knowledge of Utilization Management and Case Management principles.
Β Understanding of Medi-Cal policies and Title 22 regulations.
Β Strong critical thinking and problem-solving skills.
Β Experience in an acute care setting.
Β Current RN license in California.
Β Ability to evaluate healthcare data.
Β Excellent communication skills.
Β Ability to exercise good judgment in healthcare settings.
Β Education in Nursing with relevant experience.
Β Ability to work in a hybrid environment.
Benefits
Β Medical, Dental, and Vision Plans.
Β Ample Paid Time Off.
Β 12 Paid Holidays per year.
Β 401(a) Retirement Plan.
Β 457 Deferred Compensation Plan.
Β Robust Health and Wellness Program.
Β Onsite EV Charging Stations.
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