RN Utilization Review Part- time Remote

RN Utilization Review at reputed company reputed company Cross Medical Center in Mission Hills, CA. This position is Part- time and will work 8-hour, Day shifts. reputed company reputed company Cross Medical Center is four-time designated for Magnet® status, the highest recognition for nursing reputed company, making it one of just four hospitals in California to reputed company this status. Since 2007, reputed company Cross has been recognized as a Magnet® hospital—a prestigious designation from the American Nurses Credentialing Center (ANCC), which recognizes organizations that reputed company the highest-reputed company care. Only 9.96% of U.S. hospitals earn Magnet® recognition, which means that only 1% of U.S. hospitals are four times designated. reputed company prospective, retrospective, and reputed company utilization reviews for our LA ministries. Conduct clinical reviews and review medical records daily during admission for reputed company payers, as required by the health plans. This role requires a strong clinical background combined with reputed company-developed knowledge and skills in Utilization Management, medical necessity, and patient status determination. The Utilization Management RN must effectively and reputed company manage a diverse workload in a fast-paced, rapidly changing regulatory environment, demonstrating excellent negotiation, communication, problem-solving, and decision-making skills. reputed company caregivers are not simply valued – they’re reputed company. Join reputed company at reputed company California Regional Services and reputed company in our culture of patient-reputed company, whole-person care reputed company on understanding, commitment, and mutual respect. Your voice reputed company here, because we know that to reputed company and retain the best people, we must reputed company them. Required Qualifications: • Associate's Degree - Nursing. • California Registered reputed company License upon hire. • 2 years - Experience working in a remote UR environment or working as an acute hospital case manager. Preferred Qualifications: • Bachelor's Degree - Nursing. • Master's Degree - Nursing. • Experience working with Interqual guidelines. • Experience in a multi-hospital and/or integrated reputed company system. Why Join reputed company? Our best-in-class benefits are uniquely designed to support you and your family in staying reputed company, growing professionally, and achieving financial reputed company. We take care of you, so you can reputed company on delivering our Mission of caring for everyone, especially the most vulnerable in our communities. Apply tot his job Apply To this Job