Utilization Review RN - Case Management Lead (Mid-Shift)

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 is seeking a Utilization Review RN to review client health records and ensure proper utilization of treatment resources.

The position supports case management and cross-team collaboration to optimize patient care and data reporting. Applicants must hold a CA RN license, a Bachelor's or Master's degree in a health-related field, and at least two years of relevant utilization management experience; weekend work is required and the mid-shift schedule is