RN Central Utilization Review – Hybrid/Weekend Roles

Universal Health Services; Temecula (CA); Presencial; USD 90.000 - 120.000; Jornada completa

Ventajas ofrecidas por este puesto de trabajo

Competitive pay

Excellent medical, dental, vision

401(k) with company match

Tuition reimbursement

Career development opportunities

Descripción de la vacante

Universal Health Services (UHS) in Temecula, CA seeks a Full-Time RN Central Utilization Review Nurse to manage utilization review, coordinate patient care, and ensure medical necessity across care continuum. You will work with providers to apply guidelines and ensure payer communications, with a hybrid schedule after 90 days and weekend/holiday availability.

Licensed RNs with acute care and case management experience are preferred; UHS offers competitive benefits and opportunities for

Formación

• Requires an active California RN license.
• Two years of acute care hospital experience with at least 1 year in case management or outpatient setting.

Responsabilidades

• Carry out utilization management by planning and coordinating patient care during hospitalization.
• Review medical records to verify appropriateness of placement and level of care.
• Collaborate with attending and specialty providers to apply evidence-based guidelines.

Conocimientos

Utilization review

Case management

Clinical nurse

Leadership

Communication

Educación

Associate degree in Nursing

Vocational Nursing diploma

Herramientas

InterQual

Descripción del empleo

Universal Health Services (UHS) in Temecula, CA seeks a Full-Time RN Central Utilization Review Nurse to manage utilization review, coordinate patient care, and ensure medical necessity across care continuum. You will work with providers to apply guidelines and ensure payer communications, with a hybrid schedule after 90 days and weekend/holiday availability.

Licensed RNs with acute care and case management experience are preferred; UHS offers competitive benefits and opportunities for