Utilization Management Nurse: Elevate Care & Reduce Costs

HealthCare Talent; Camarillo (CA); On-site; USD 80,000 - 100,000; Full time

Job summary

HealthCare Talent is seeking a compassionate and detail-oriented Utilization Management Registered Nurse in Camarillo. This role involves reviewing requests for medical services, applying clinical guidelines, and ensuring quality care for patients.

The ideal candidate will have a registered nursing degree, with experience in case management or utilization review. Strong communication and organizational skills are essential for success in this position.

Qualifications

• Registered nursing degree with experience in case management or utilization review.
• Ability to apply principles of utilization management effectively.
• Strong communication and organizational skills.

Responsibilities

• Review medical service requests against guidelines.
• Promote cost-effective medical outcomes.
• Coordinate with clinical staff for timely care.
• Maintain accurate intervention records.

Skills

Utilization Management principles

Acute care nursing practices

Clinical guidelines application

Problem-solving skills

Conflict management

Organizational skills

Microsoft Office proficiency

Regulatory compliance knowledge

Communication skills

Typing skills

Education

Registered Nursing degree (preferably baccalaureate)

Job description

HealthCare Talent is seeking a compassionate and detail-oriented Utilization Management Registered Nurse in Camarillo. This role involves reviewing requests for medical services, applying clinical guidelines, and ensuring quality care for patients.

The ideal candidate will have a registered nursing degree, with experience in case management or utilization review. Strong communication and organizational skills are essential for success in this position.