Top 8 Utilization review nurse (rn) Jobs in Firebaugh, Ca

Utilization Review Nurse (RN)
Madera Community Hospital —Madera, CA
- $46 - $60 an hour
- Full-time
- Acute care
- Nursing
- RN License
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Peer Review Nurse
Madera Community Hospital —Madera, CA
- $46.00 - $61.91 an hour
- Part-time
- Acute care
- Nursing
- RN License
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Appeals Professional III (Licensed Clinician)
Tanaq Support Services LLC —United States
- Full-time
- Remote
- Nursing
- RN License
- Writing skills

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PRO HOME HEALTH —Fresno, CA
Graduate of an approved school of professional nursing and currently licensed in the state(s) in which practicing. Gives total patient care as needed.
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Peer Review Coordinator RN
Saint Agnes Medical Center —Fresno, CA
Bachelor's degree in Nursing, Health Science or related field is required. Five (5) years of clinical experience and a wide range of expertise and knowledge in…
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Licensure/Certification: Current OH RN license; RN license in IN a plus. Tuition Reimbursement up to $5,250 per year for ANY field of study.
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Utilization Review Nurse (RN)

Madera Community Hospital -
Madera, CA

Quick Apply

Job Details

Full-time
$46 - $60 an hour

Qualifications

Medicare
RN License
BLS Certification
Employee relationship building
Medicaid health insurance
Acute care facility experience
Medicare regulations
Medicaid regulations
Medicaid

Full Job Description

Madera Community Hospital

Located in the heart of Central California, Madera Community Hospital is a General Acute Care, private, not-for-profit hospital dedicated to improving and maintaining the health and wellness of residents throughout the Central Valley. We are committed to identifying and serving our community's needs with compassion, concern, care and safety for every patient. Madera Community Hospital is a growing acute care facility seeking talented individuals with a drive to provide quality care and dedicated to making a difference in our community.

Position Summary: The Utilization Review Nurse assesses, plans, implements and evaluates the needs of patients for discharge planning and utilization review. This includes those who may have Medicare, Medicaid, HMO or private insurance to cover their stay at various units. Discharge planning is coordinated with physicians, Nursing, patient and family who have an ongoing caring relationship with the patient. Utilization review procedures include those stated for discharge planning in addition to knowledge of criteria for Medicare, Medicaid coverage and that of HMO or private insurers.

Qualifications:

Minimum of 1–3 years of related acute care nursing experience and completion of an accredited nursing program required.
Experience with Meditech Electronic Health Record (EHR) system preferred.
Must have working knowledge of criteria for Medicare, Medicaid, HMO and private insurance coverage.
Ability to maintain collaborative working relationships to ensure a positive and productive work environment.
Ability to plan and prioritize work with frequent interruptions.
Ability to provide exceptional customer service.
Effective verbal and written communication skills.
Knowledge and proficiency of hospital information technology applications.
Requires Current California Board of Nursing Registered Nurse License.
Current American Heart Association BCLS certificate required; ACLS certificate preferred.
CCM in Case Management preferred.

Madera Community Hospital provides equal employment opportunities to all employees and applicants for employment and prohibits discrimination and harassment of any type without regard to race, color, religion, age, sex, national origin, disability status, genetics, protected veteran status, sexual orientation, gender identity or expression, or any other characteristic protected by federal, state or local laws.

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utilization review nurse (rn) jobs in firebaugh, ca

Utilization Review Nurse (RN)

Peer Review Nurse

Appeals Professional III (Licensed Clinician)

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