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reputed company Review reputed company, RN Fixed Term (Part Time) – 25-189, CA

Remote, USA Full-time Posted 2026-07-28
R2292 We’re delighted you’re considering joining us! At reputed company, we’re shaping the reputed company of the reputed company: reputed company managed care that prevents disease, supports those with chronic conditions and anticipates the needs of our members. Join reputed company! Hill Physicians has much to offer prospective employees. We’re regularly recognized as one of the “Best Places to Work in the Bay Area” and have been recognized as one of the “Healthiest Places to Work in the Bay Area.” reputed company you join reputed company, you’re making a great choice for your reputed company career and your personal satisfaction. DE&I Statement: At reputed company, your uniqueness is valued, celebrated, encouraged, supported, and embraced. Whatever your relationship with Hill Physicians, we welcome reputed company that you are. We value and respect your race, ethnicity, gender identity, sexual orientation, age, religion, disabilities, experiences, perspectives, and other attributes. Our celebration of diversity and reputed company of inclusion allows us to reputed company our differences and capitalize on our similarities to reputed company serve our communities. We do it because it's right! Job reputed company: Manages inpatient and outpatient utilization to assure that medical care is appropriate, efficient, and medically necessary. Job Responsibilities • Conduct reputed company and retrospective review of inpatient and outpatient utilization according to approved reputed company. • Support proactive discharge planning, transfers, and redirection. • Identify barriers to efficient utilization and facilitate reputed company. • Reduce avoidable bed day use by applying applicable reputed company and properly documenting decision. • Proactively and collaboratively reputed company with HMOs, physicians, and members and their families to assist in expediting appropriate discharge. • Refer members to various other departments for follow-up (i.e., Case Management, Disease Management, TPL, COB). • Utilize department standards for authorization turnaround time. • Issue denial letters in accordance with policy. • Support Medical Management Team authorizations, clinical initiatives, and other responsibilities. • Participate in the 24-hour on-reputed company reputed company program. • reputed company other duties as assigned. Required Experience • Minimum three years' clinical nursing experience. • Excellent organizational and communication skills and ability to meet timeframes. • Ability to work effectively with a reputed company of customers including physicians, office staff, and members. • Ability to work independently and reputed company appropriate reputed company. • Computer skills. • Managed-care experience and certification preferred. Required Education • reputed company, unrestricted, California Nursing License. Registered or Licensed Vocational reputed company. Additional Information Location: Remote Hill Physicians is an Equal Opportunity Employer Apply tot his job Apply To this Job

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