Utilization Management Registered Nurse

Qualifications

• Associates Degree Nursing (required)
• Bachelors Degree Nursing or related field (preferred)
• RN - Registered Nurse License - CA-BRN - California Board of Registered Nursing (required)
• Minimum three (3) years Full time equivalent RN experience in an acute care hospital (required)
• Pediatric experience and experience in Case Management and/or Utilization Review (preferred)

Skills And Abilities

• Knowledge of UM regulations
• Knowledge of private and public payer reimbursement practices and procedures
• Excellent organizational and communication skills and ability to work with a variety of health care professionals
• Ability to work independently
• Computer Skills Proficiency with word processing, spreadsheets and database software