This part-time role will work Saturdays from 9am to 5pm.
Job Summary:
This part-time, fully remote position is for a Registered Nurse with experience in utilization review. The nurse will perform telephonic reviews of hospital admissions, recommend alternative levels of care when appropriate, and promote the efficient and high-quality use of the healthcare delivery system. The position also supports dynamic discharge planning to facilitate early discharge and refers cases to Case Management when necessary. Collaboration with the hospital utilization review department, attending physicians, and members/families is essential.
Duties and Responsibilities:
Education and Experience:
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