Registered Nurse (Utilization Management)

Salary depends on experience
Posted on 03/10/18
Confidential Company
Rancho Cordova, CA
Staffing & Recruiting
Salary depends on experience
Posted on 03/10/18

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

Not the right job?
Join Ladders to find it.
With a free Ladders account, you can find the best jobs for you and be found by over 20,0000 recruiters.