Utilization Management RN Wanted!
Camarilloonsite
Posted 129mo ago · via Smartrecruiters
About this role
About Are you a compassionate, detailed RN? We want the best Utilization Management Registered Nurse for our clients in Camarillo! Under the direction of the Manager, UM, this position will review requests for medical services against National Clinical Guidelines. The UM Nurse uses judgment in selecting appropriate guidelines and in applying general policies and procedures. Responsible for screening enrollees for initiatives and programs including Case Management and Disease Management. • Review precertification requests for medical necessity. • Review clinical information for concurrent reviews, extending the Length of Stay for inpatients as appropriate.…
What we'd score you on
reqspace match rubricFive dimensions, recruiter-grade. Upload your resume and we'll generate a written explanation of where you fit and where the gaps are.
1
Skills match
We compare your skills against the role requirements.
2
Level fit
We check your title trajectory against the seniority signal of the role.
3
Domain experience
Your work in the role's domain matters more than your years total. We weight recent and direct experience.
4
Recency
A skill you used last quarter weighs more than one from five years ago. We grade on recency, not lifetime.
5
Location fit
This role is based in Camarillo. We weight your proximity and willingness to relocate.
Score yourself on this role.
Free · no card · written explanation included
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