Utilization Management Nurse – Discharge Planning Lead

Decypher; Patterson (CA); On-site; USD 51,052 - 72,711; Full time

Benefits offered by this job

Health & Wellness Incentive

Job summary

A healthcare services provider seeks a Registered Nurse - Utilization Manager in California to assist with inpatient discharge planning and develop a comprehensive Utilization Management program. Candidates must have an ADN or BSN, relevant nursing experience, and a Registered Nurse License. This role includes monitoring specialty care referrals and conducting medical necessity reviews. The position offers full-time hours, Monday to Friday, with compensation of $44.92 per hour plus potential health incentives.

Qualifications

• Valid, active, unrestricted Registered Nurse License.
• Basic Life Support (BLS) certification required.
• 4 years of experience if ADN holder; 2 years if BSN holder.

Responsibilities

• Assist with inpatient discharge planning and coordinate transfers.
• Develop and implement a Utilization Management program.
• Monitor specialty care referrals for appropriateness and authorization.

Skills

Clinical documentation analysis

Communication skills

Data collection and analysis

Discharge planning

Understanding of healthcare resources

Education

Associate degree in Nursing (ADN)

Bachelor of Science in Nursing (BSN)

Tools

Electronic health records

Clinical decision tools

Job description

A healthcare services provider seeks a Registered Nurse - Utilization Manager in California to assist with inpatient discharge planning and develop a comprehensive Utilization Management program. Candidates must have an ADN or BSN, relevant nursing experience, and a Registered Nurse License. This role includes monitoring specialty care referrals and conducting medical necessity reviews. The position offers full-time hours, Monday to Friday, with compensation of $44.92 per hour plus potential health incentives.