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L.A. Care Health Plan
Overview
The Utilization Management Nurse Specialist RN II facilitates, coordinates, and approves medically necessary referrals, ensuring timely determination and notification of referral statuses, and generates necessary approval or denial communications. This role also involves performing telephonic and/or onsite admission and concurrent review, collaborating on discharge plans, and monitoring inpatient admissions.
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Compensation
$88,854 - $142,166 / YEAR
Posted
8 days ago
Purple Cow Recruiting
The RN Case Manager will perform utilization reviews using InterQual criteria and coordinate patient care, including discharge planning and admission reviews. They will collaborate with interdisciplinary teams to manage individualized care plans and facilitate insurance authorizations within an acute care setting.
Salary not listed
1 month ago
Calvary Hospital
The Hospice Nurse Liaison is responsible for coordinating applications through the admission review process and maintaining relationships with assigned referring institutions and agencies. This role also involves participating in the development and marketing of Calvary Hospital’s Home Care and Hospice Services and providing pre-admission assistance to patients, families, and referrers.
$109,208 - $135,708 / YEAR
3 months ago
