RN Utilization Review Per Diem Rotate Specialist

1 day ago


Modesto, California, United States Doctors Medical Center of Modesto Full time
Job Summary

We are seeking a highly skilled RN Utilization Review Per Diem Rotate Specialist to join our team at Doctors Medical Center of Modesto. As a key member of our healthcare team, you will be responsible for facilitating care along a continuum through effective resource coordination to help patients achieve optimal health, access to care, and appropriate utilization of resources.

Key Responsibilities
  • Ensure that care is provided at the appropriate level of care based on medical necessity and assess patients for transition needs to promote timely throughput, safe discharge, and prevent avoidable readmissions.
  • Integrate national standards for case management scope of services, including Utilization Management, Transition Management, and Care Coordination.
  • Comply with state and federal regulatory requirements, TJC accreditation standards, and Tenet policy.
  • Provide education to physicians, patients, families, and caregivers.
Requirements
  • CA RN License
  • 2+ years experience in Utilization Review in an Acute Care Hospital
Benefits

We offer a competitive salary and a comprehensive benefits package, including a matching 401(k), several health & dental plans to choose from, generous tuition assistance plans, and relocation assistance for select positions.

Our benefits package also includes comprehensive benefits for medical, prescription drug, dental, vision, behavioral health, and telemedicine services, as well as wellbeing support, including an employee assistance program (EAP), time away from work programs, and savings and retirement plans.

We are an equal opportunity employer and comply with federal, state, and/or local laws regarding mandatory vaccination of our workforce. If you are offered this position and must be vaccinated under any applicable law, you will be required to show proof of full vaccination or obtain an approval of a religious or medical exemption prior to your start date.



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