Lead Utilization Review RN & Case Management

Kpc Global Medical Centers Inc.; Hemet (CA); Presencial; USD 85.000 - 115.000; Jornada completa

Descripción de la vacante

KPC Global Medical Centers Inc. in Hemet, CA seeks a Utilization Review RN to evaluate client health records and ensure appropriate use of treatment resources.

You will support case management, collaborate across teams, and contribute to data reporting to improve patient outcomes. Candidates must hold a CA RN license, a health-related Bachelor's or Master's degree, and at least two years of utilization management experience; weekend shifts are required.

Formación

• CA RN license required.
• Two+ years in utilization management.
• Weekend work required and mid-shift schedule.

Responsabilidades

• Review client health records to ensure proper utilization of treatment resources.
• Support case management and cross-team collaboration.
• Prepare data reports for utilization management metrics.

Conocimientos

Case management

Collaboration

Educación

Bachelor's degree in health-related field

Master's degree in health-related field

Descripción del empleo

KPC Global Medical Centers Inc. in Hemet, CA seeks a Utilization Review RN to evaluate client health records and ensure appropriate use of treatment resources.

You will support case management, collaborate across teams, and contribute to data reporting to improve patient outcomes. Candidates must hold a CA RN license, a health-related Bachelor's or Master's degree, and at least two years of utilization management experience; weekend shifts are required.