Acute Care RN Case Manager | Utilization Review Expert

University of Southern California; Glendale (CA); Sur place; USD 66 000 - 106 000; Plein temps

Résumé du poste

University of Southern California's Keck Medicine invites a Nurse to support admissions and reviews at USC Verdugo Hills Hospital. The role involves concurrent and retrospective reviews to ensure compliance with Performance Improvement, regulatory, and insurer requirements.

Candidates must hold a California RN license ( BSN preferred) and BCLS certification; prior Utilization/Quality/Case Management experience in acute settings is preferred.

Qualifications

• Current RN license in the State of California.
• BSN preferred.
• Experience in Utilization/Quality/Case Management in acute setting preferred.

Responsabilités

• Responsible for admissions, concurrent and/or retrospective reviews of all patients in accordance with approved criteria and procedures.
• Ensure compliance with Federal and State guidelines, PRO regulations, JCAHO standards and insurer agreements.

Connaissances

Utilization/Quality/Case Management

Formation

Current RN license in California

BSN preferred

Description du poste

University of Southern California's Keck Medicine invites a Nurse to support admissions and reviews at USC Verdugo Hills Hospital. The role involves concurrent and retrospective reviews to ensure compliance with Performance Improvement, regulatory, and insurer requirements.

Candidates must hold a California RN license ( BSN preferred) and BCLS certification; prior Utilization/Quality/Case Management experience in acute settings is preferred.