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Utilization Review Nurse - Case Management
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$41.32 - $65.1 an hour
Full-time
- Kern Medical offers a range of primary, specialty, and multi-specialty services including high-risk pregnancy care, inpatient psychiatric services integrated with county mental health programs, and a growing network of outpatient clinics providing personalized patient-centered wellness care.
- Under supervision, to provide and implement a hospital utilization review and discharge planning program; and to do related work as required.
- Positions in this classification are assigned to the Utilization Review division of Kern Medical Center.
- Incumbents perform clinically oriented medical chart reviews and other administrative tasks to meet the requirements of the medical center's utilization review plan, state and federal regulations, insurance company requirements for reimbursement and facility accreditation standards.
- The Utilization Review Nurse classification ranges from less experienced nurses, who will perform administrative tasks concerning Utilization Review and Discharge planning activities, to experienced nurses who will apply full working knowledge of applicable regulations and to develop knowledge of outside agencies and services to develop appropriate discharge plans.
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