Utilization Review Coordinator

2 weeks ago

Fresno CA United States Community Health System - CA Full time
Overview: *All positions are located in Fresno/Clovis CA*

*Up to $25K in bonus incentives (sign-on and relocation)*

Opportunities for you
  • Join a Forbes Top 10 CA Employer
  • Direct impact on quality patient care
  • Time and a half after 8 hrs + weekend and night differential (call pay for procedural areas)
  • Free Continuing Education and certification including BLS, ACLS and PALS
  • Tuition reimbursement, education programs, and scholarships
  • Vacation time starts building on Day 1, and builds with your seniority
  • 403(b) retirement plan with up to 8% matching contributions
  • Free parking and electric charging
  • Great food options with on-demand ordering


Commitment to diversity and inclusion is a cornerstone of our culture at Community. All are welcome as valued members of our community.

We know that our ability to provide the h taking care of our incredible teams. Want to learn more? Click here. Responsibilities: Responsible for various aspects of utilization management to ensure that care is rendered in accordance with intensity of service and severity of illness standards at all times during the acute stay, utilizing InterQual system as a guideline. Works collaboratively with the Case Management team, other departments, and physicians to facilitate efficient and appropriate management of all cases. Qualifications: Education
• Associate's Degree in Nursing required
• Bachelor's Degree in Nursing preferred

Experience
• 2 years of experience as a Registered Nurse with experience in discharge planning, case management or utilization management required or
• 5 years of LVN experience in discharge planning, case management or utilization management required

Licenses and Certifications
• RN - Current State of California Registered Nurse license required
• BLS - Current Basic Life Support (BLS) for Healthcare Providers by American Heart Association (AHA) required
• ACM - Accreditation in Case Management preferred
• CCM - Certified Case Management preferred

Disclaimers:
• Pay ranges listed are an estimate and subject to change.
• If any bonuses are noted, they are only applicable to external hires meeting criteria.

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