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Inpatient Utilization Management Nurse

Yoh • Alameda, CA

Posted 8 days ago

Job Snapshot

Contractor
Experience - 1 years
Healthcare - Health Services
Health Care

Job Competition

2

Applicants

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Job Description

Inpatient Utilization Management Nurse needed for a full-time contract opportunity with Yoh’s client located in Alameda, CA!

Top Skills You Should Possess:

  • Working knowledge of managed care
  • Knowledge of DME and Home Health Services

What You’ll Be Doing:

  • Conduct on-site and telephonic utilization review of hospitalized members and initiating the transition of care process; work directly with hospitals and primary and specialty care providers to meet the targeted needs of each individual member and their families
  • Perform timely concurrent review of inpatient admission to ensure it meets medical necessity guidelines
  • Use clinical judgment to assess and stratify members for appropriate levels of need and refer member to the Case and Disease Management department, if necessary
  • Identify patients eligible for hospital discharge or transfer to lower level of care; assist in coordinating discharge planning needs with hospital staff, vendors, etc. as appropriate
  • Coordinate with admitting, attending, PCP, case manager, social workers, and other liaisons regarding the patient’s acuity level and plan of care

What You Need to Bring to the Table:

  • Active California Registered Nurse License required
  • One year experience in managed care or health care setting preferred
  • Excellent verbal and written communication skills
  • Working knowledge of managed care
  • Knowledge of DME and Home Health Services
  • Current driver’s license, automobile insurance, and car registration required
  • Have a cleared TB test prior to or within seven days of hire
  • Current CPR and first aid card prior to or within six months of hire is preferred

What’s In It For You?

We welcome you to be a part of the largest global staffing companies to meet your career aspirations. Yoh’s network of client companies has been employing professionals like you for over 65 years in the U.S., UK and Canada. Join Yoh’s extensive talent community that will provide you with access to Yoh’s vast network of opportunities.

  • Medical, Dental & Vision Benefits
  • 401K Retirement Saving Plan
  • Life & Disability Insurance
  • Direct Deposit & weekly EPayroll
  • Employee Discount Programs
  • Referral Bonus Programs

What are you waiting for?  Apply Now!

Recruiter:  Jennifer Andersen

Yoh makes finding and applying for jobs simple. Partner with Yoh to find the right opportunities across multiple industries in the US and UK. Find out more here!

Yoh, a Day & Zimmermann company, is an Equal Opportunity Employer, M/F/D/V. Click here to contact us if you are an individual with a disability and require accommodation in the application process.

Job ID: BHJOB18230_227874
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