Inpatient Review Nurse - CA Licensed

Company: VirtualVocations
Location: Kalamazoo
Posted on: October 29, 2024

Job Description:

A company is looking for an Inpatient Review Nurse (RN/LVN) with California licensure to join their utilization management team.

Key Responsibilities

Perform reviews of inpatients with complex medical and social problems
Coordinate care with healthcare providers and community resources
Monitor and document clinical criteria as per UM policy and procedure

Required Qualifications, Training, and Education

Current, active, and unrestricted California Licensed Vocational Nurse
Minimum of 2 years of experience in a managed care setting as an inpatient case manager
Experience with concurrent review and utilizing Milliman Care Guidelines (MCG)
Minimum of 3 years of general case management experience
Knowledge of Medicare Managed Care Plans

Keywords: VirtualVocations, Elkhart , Inpatient Review Nurse - CA Licensed, Healthcare , Kalamazoo, Indiana

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