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Utilization Review Case Manager Resource Management

Company: Nurse Management
Location: Modesto
Posted on: February 15, 2019

Job Description:

A medium sized hospital in sunny Central Valley, California, is looking for a Nursing Resource Care Manager – Utilization Review Management to join their team. This is an amazing opportunity to work for a hospital who is nationally recognized for providing excellent quality patient care.
This not for profit hospital has been in business and serving San Joaquin County for over 100+ years. They have grown through the years and they have upgraded their facility and their equipment. As the Country’s leading Orthopedic Hospital, they have also been recognized by The Joint Commission as being a Top Performer for its Quality Metrics. They are also a STEMI Receiving Center.
Reporting to the Director of Resource Management/Case Management, the Nurse Case Manager Utilization Review will work with Managers and staff to ensure quality for the Case Management and Utilization Review Departments. This RN candidate will have good communication skills, and good knowledge of federal and state guidelines and criteria for determining medical necessity for admission, level of care, utilization of resources, continued length of stay, and recent 3 years experience working in acute care.
Responsibilities for the UR Nurse Resource Case Manager include promoting quality of patient care continuity and quality through the collaborative development of practice guidelines to support quality improvement data and metrics. This Resource Care Nursing Manager will also be cross trained in areas or Resource Management and Utilization Management for maximum department flexibility.
The hospital is located in a great area that offers affordable housing and a low cost of living. There are also historic cities nearby and the city offers plenty of outdoor activities and is close to lakes for fishing, swimming, and hiking. It is also close proximity to restaurants and shopping.

Keywords: Nurse Management, Modesto , Utilization Review Case Manager Resource Management, Executive , Modesto, California

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