Utilization Review RN: Care Coordination & Case Management
Providence Health Plan Group
A leading healthcare organization is seeking a skilled professional to provide utilization review and coordinate care for members in California. The successful candidate will have a Nursing school degree and a California RN License. Key responsibilities include ensuring quality and cost-effective healthcare. Experience in utilization and case management is preferred. Providence offers a comprehensive benefits package including health care benefits, retirement plans, and paid parental leave. #J-18808-Ljbffr Providence Health Plan Group
Vacancy posted 2 days ago
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The Supervisor, Utilization Management (UM), reports to the... ...service and claims reviews. Supervise licensed and coordinator staff, ensuring... ...Promote quality patient care outcomes while... ...Handle escalated UM cases as required.... ...and unrestricted RN or LVN license in...Remote jobLocal area$26.41 - $51.49 per hour
...support for member clinical review processes specific to... ...through integrated delivery of care across the continuum.... ...collaboratively with the utilization and care management departments to provide ABA... ...for members. Develops and coordinates internal and external BHT...Hourly payWork experience placementLive inWork at officeLocal area$96.35 - $111.14 per hour
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