Hospital RN - Care Coordination & Utilization Review

Hospital RN – Care Coordination & Utilization Review

Immediate need for a talented Hospital RN – Care Coordination & Utilization Review. This is a 06+months contract opportunity with long-term potential and is located in San Jose, CA (Onsite). Please review the job description below and contact me ASAP if you are interested.

Pay Range: $80 - $95/hour. Employee benefits include, but are not limited to, health insurance (medical, dental, vision), 401(k) plan, and paid sick leave (depending on work location). Key Responsibilities:

• Conduct utilization reviews using InterQual® / MCG®
• Support discharge planning and post-acute coordination
• Communicate with physicians, social work, and external providers
• Manage authorizations and payer-related workflows
• Maintain compliance with regulatory standards

Key Requirements and Technology Experience:

• Key Skills; CA RN License (Active)
• Acute inpatient hospital experience
• UM / Case Management / Discharge Planning background

Our client is a leading Healthcare Industry and we are currently interviewing to fill this and other similar contract positions. If you are interested in this position, please apply online for immediate consideration.

Pyramid Consulting, Inc. provides equal employment opportunities to all employees and applicants for employment and prohibits discrimination and harassment of any type without regard to race, color, religion, age, sex, national origin, disability status, genetics, protected veteran status, sexual orientation, gender identity or expression, or any other characteristic protected by federal, state or local laws.