Registered Nurse (Utilization Management)


Rancho Cordova, CA

Industry: Staffing & Recruiting


Not Specified years

Posted 251 days ago

This job is no longer available.

Job Title:   Registered Nurse (Utilization Management)

Client: Blue Shield of California

Location: Rancho Cordova, California


Day to Day Responsibilities of this Position and Description of Project: Management of cases for UM. Reviewing for medical necessity for members requesting medical treatment. Communicating to providers, colleague and MD?s utilizing phones, computers.

Internal/External Groups with which the Candidate will interface with:   CM, intake, Customer Service, Physicians

How does this project impact the line of business or BSC as a whole?   Assists with management of cases

Required Skills (top 3 to 5/ non-negotiables):

1.   Computers

2.   Acute Care experience (3)

3.   communication

4.   Attendance

5.   RN License

What you like to see on resumes? (nice to have)

1.   Work experience

Education Requirement:   ASN BSN

Required Testing:   RN

Software Skills Required:   Word, outlook

Required Certifications:   RN License

How many people are on your team? Junior, Mid or Senior Level?   54

Will this person be sitting with the team? Is the cubical structure (open or closed)?   yes

What other business units will this person interact with?   CM, Intake, MD