About Job
- Minimum two (2) years of acute hospital clinical experience or a Masters degree in Case Management or Nursing field in lieu of 1 year experience.
- California RN license
- AHA BLS card
- Ability to pass annual Inter-rater reliability test for Utilization Review product(s) used.
- Able to apply clinical guidelines to ensure progression of care.
- Must have critical thinking and problem-solving skills.
- Collaborate effectively with multiple stakeholders
- Professional communication skills.
- Understand how utilization management and case management programs integrate.
- Ability to work as a team player and assist other members of the team where needed.
- Thrive in a fast paced, self-directed environment.
- Knowledge of CMS standards and requirements.
- Proficient in prioritizing work and delegating where indicated.
- Highly organized with excellent time management skills.
- Excellent customer service and presentation skills are a must Strong interpersonal and written communication skills are essential Demonstrated ability to apply analytical and problem solving skills Demonstrated ability to manage multiple tasks or projects
- Graduate of an accredited school of nursing (Bachelor's Degree in Nursing (BSN)) or related healthcare field.
- At least five (5) years of nursing experience.
Professional Field


Patient Focus
Diagnoses
Avoidant Personality Disorder
Therapeutic Approach
Methodologies
ECT
Modalities
Families
Individuals
Practice Specifics
Populations
Undergraduate/Graduate/Post Graduate
Victims of Crime/Abuse (VOC/VOA)
Settings
In-patient Non-Psychiatric
In-patient Psychiatric
Milieu
Non-profit
Research Facilities/Labs/Clinical Trials
Schools
State/Federal Government
Home Health/In-home
Sign up for job alertsGet daily alerts for jobs relevant to you, sent to your inbox