Utilization Review Case Manager RN
4 weeks ago
Registered Nurse (RN)
Job Specialty:
Case Manager
Job Summary:
UCI Health is seeking a skilled RN Case Manager to perform comprehensive utilization reviews and coordinate patient care with interdisciplinary teams. The ideal candidate will have strong organizational and communication skills, with the ability to maintain accurate and timely documentation in electronic systems.
Key Responsibilities:
- Perform comprehensive utilization reviews to ensure appropriate use of resources.
- Coordinate patient care with interdisciplinary teams to deliver effective case management services.
- Evaluate and ensure the effectiveness of discharge plans.
- Collaborate with insurance companies for pre-authorizations and claims.
- Adhere to confidentiality and HIPAA regulations.
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