Utilization Management Nurse

The Utilization Management (UM) Nurse is a licensed nursing professional responsible for reviewing UM cases and discharge planning activities. The UM Nurse will work closely with the UM/QI Manager, MSO UM team, MSO Medical Director, and MSO Physician Reviewer on UM case reviews.

Requirements

• Active California Registered Nurse license
• Current documentation of Basic Life Support
• Valid Driver’s License and ability to maintain license preferred
• Demonstrate willingness to make decisions within RN's clinical scope of practice
• Ability to engage and work collaboratively with others
• Ability to provide detailed, concise note/documentation of work within workflow turnaround timelines
• Good communication and interpersonal skills
• Able to spend 20-40 minutes at a time with patient in the community
• Time management and prioritization skills are vital
• Fluently speak, read and write English
• Fluent in Chinese (Cantonese and Mandarin) preferred
• Fluent in other languages is an asset

Benefits

• Competitive benefits
• Free medical, dental and vision insurance for employee, spouse and/or children
• Company contribution to 401(k)