logo

JobNob

Your Career. Our Passion.

Pre - license


Actalent


Location

Roseville, CA | United States


Job description

Description:

As a part of the Utilization Management team the Utilization Review RN is a member of the Care Coordination team. The goal of care coordination is to assist in managing care, cost, and outcomes across the continuum of patient care as it relates to acute inpatient stay and post-acute facility stay.

The Utilization Review RN Coordinates continuing care/outside services for value based risk members (HMO members) in collaboration with the hospital and primary care physician.

Skills:

Utilization review, prior authorization, Care management, Case management, interqual, ncqa, ncqa standards

Top Skills Details:

Utilization review,prior authorization,Care management

Additional Skills & Qualifications:

California RN License

BLS AHA

Must be experienced with Care Management Prior Authorizations

Acute Outpatient experience

Experience Level:

Intermediate Level

For immediate consideration, email your updated resume to ryreyes@ actalentservices.com along with a couple of reasons why you're a strong fit for the role.

About Actalent

Actalent is a global leader in engineering and sciences services and talent solutions. We help visionary companies advance their engineering and science initiatives through access to specialized experts who drive scale, innovation and speed to market. With a network of almost 30,000 consultants and more than 4,500 clients across the U.S., Canada, Asia and Europe, Actalent serves many of the Fortune 500.

Diversity, Equity & Inclusion

At Actalent, diversity and inclusion are a bridge towards the equity and success of our people. DE&I are embedded into our culture through:

The company is an equal opportunity employer and will consider all applications without regard to race, sex, age, color, religion, national origin, veteran status, disability, sexual orientation, gender identity, genetic information or any characteristic protected by law.

If you would like to request a reasonable accommodation, such as the modification or adjustment of the job application process or interviewing process due to a disability, please email [email protected] for other accommodation options.


Job tags

Contract workImmediate start


Salary

All rights reserved