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Registered Nurse (RN) - Utilization Review

Registered Nurse (RN) - Utilization Review

Community Medical CentersFresno, CA, US
6 hours ago
Job type
  • Full-time
Job description

Job Description

Community Medical Centers is seeking a Registered Nurse (RN) Utilization Review for a nursing job in Fresno, California.

Job Description & Requirements

  • Specialty : Utilization Review
  • Discipline : RN
  • Duration : Ongoing
  • 36 hours per week
  • Shift : 12 hours, days
  • Employment Type : Staff

Overview : \n

  • Hybrid positions are located in Fresno / Clovis CA

    • Opportunities for you!

  • Consecutively recognized as a top employer by Forbes
  • 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 highest level of care is through taking care of our incredible teams. Want to learn more? Click here.

    \n\nResponsibilities : \n

    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.

    \n\nQualifications : \n Education

  • Associate's Degree in Nursing required
  • Bachelor's Degree in Nursing preferred

    • Experience

  • 2 years of clinical nursing experience required (med surg preferred)
  • Experience with EPIC and the utilization software InterQual.
  • Experience in discharge planning, case management, or utilization review preferred
  • Experience in a fast-paced, high-volume hospital environment preferred

    • Licenses and Certifications

  • RN - Current and valid Registered Nurse license to work within the state of California 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

    • \n\nDisclaimers : \n

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

    • Community Medical Centers Job ID #2025-47423. Posted job title : Utilization Review Coordinator

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    Registered Nurse Rn • Fresno, CA, US

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