Utilization Review RN – BHU Discharge & Care Coordination

Coast Plaza Doctors Hospital; Norwalk (CA); On-site; USD 95,000 - 125,000; Full time

Job summary

Coast Plaza Doctors Hospital is seeking an experienced Utilization Review Registered Nurse (RN) to support patient care coordination and discharge planning. The UR RN will perform initial and concurrent reviews, assess medical necessity, and liaise with health plans and physicians to optimize care and resource use.

The role emphasizes collaboration across multidisciplinary teams, adherence to regulatory requirements, and patient education to facilitate smooth transitions from hospital to

Qualifications

• Minimum 2 years of acute care nursing experience.
• Experience in case management or discharge planning is preferred.
• Knowledge of InterQual criteria and utilization review processes.

Responsibilities

• Perform utilization reviews (UR) and concurrent reviews.
• Coordinate discharge planning and post-hospital care.
• Educate patients and families on care plans and resource options.
• Collaborate with physicians and care teams to optimize patient flow.

Skills

RN

Case Management

Discharge Planning

Utilization Review

InterQual Criteria

Education

Bachelor's degree in Nursing

Tools

EMR systems

Paragon/clinical care

Job description

Coast Plaza Doctors Hospital is seeking an experienced Utilization Review Registered Nurse (RN) to support patient care coordination and discharge planning. The UR RN will perform initial and concurrent reviews, assess medical necessity, and liaise with health plans and physicians to optimize care and resource use.

The role emphasizes collaboration across multidisciplinary teams, adherence to regulatory requirements, and patient education to facilitate smooth transitions from hospital to