Utilization Review Nurse - 89,000

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POST DATE 8/30/2016
END DATE 10/23/2016

ALL's WELL Petaluma, CA

Company
ALL's WELL
Job Classification
Full Time
Company Ref #
22991107.2260
AJE Ref #
576021215
Location
Petaluma, CA
Job Type
Regular
Required Licenses/Certifications
df-aj

JOB DESCRIPTION

APPLY
This Utilization Review Nurse Position Features:
? Full Time Opportunity
? Great Pay to 89k

Terrific opportunity for a professional individual ready to move ahead in a great career! If you're looking for that work life balance: Monday- Friday, 8-5, this may be the position you've been looking for. As a utilization review nurse for this health care organization, you will be responsible for reviewing routine referral and service requests on assigned patients in accordance to NCQA timeliness standards and health plan benefit structure. You will be educating and supporting members in the accessing care using their HMO and Medicare Advantage benefits as needed. Will be providing care transitions support for hospitalized members including hospital and home visits. Experience in utilization review, case management and experience with HMO, health Plan and Medicare is a big plus. Again, this is a full time opportunity that provides great benefits with a very well known health care organization in the Marin area! Apply for this great position as a utilization review nurse today! We are an equal employment opportunity employer and will consider all qualified candidates without regard to disability or protected veteran status.

Job Experience:

RN License required
BSN required
Utilization Review/ Utilization Management experience required