Utilization Review Nurse - 97,000k

Location: Hayward
Posted on: November 9, 2024

Job Description:

Immediate need for Utilization Review Nurse seeking a great opportunity, with a well known Health care facility in East Bay! Health care facility is needing a team player that is able to multi task and has strong written and verbal communication skills. Some responsibilities of an Utilization Review Nurse duties include: assessing, planning, implementing, coordinating and monitoring and evaluating the options and services needed to meet the member?s health needs across the care continuum and provides quality cost-effective outcomes. Will provide case management activities across the continuum and provides quality cost-effective outcomes and assists in the development. Screening for appropriateness, verifying eligibility, interpretation of benefits and medical necessity, obtaining additional information and researching issues to facilitate objective medical management decisions based upon approved health care facility criteria, standards and guidelines. This is a great direct hire opportunity providing full time hours and great benefits paying up to 97,000K! RN's and LVN's welcome to apply! We are an equal employment opportunity employer and will consider all qualified candidates without regard to disability or protected veteran status.

Keywords: , Merced , Utilization Review Nurse - 97,000k, Healthcare , Hayward, California