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Concurrent Review RN

Company: Dignity Health
Location: Rancho Cordova
Posted on: June 6, 2021

Job Description:

Overview

Dignity Health Medical Foundation, established in 1993, is a California nonprofit public benefit corporation with care centers throughout California. Dignity Health Medical Foundation is an affiliate of Dignity Health - one of the largest health systems in the nation - with hospitals and care centers in California, Arizona and Nevada. Today, Dignity Health Medical Foundation works hand-in-hand with physicians and providers throughout California to provide comprehensive health care services to the many communities we serve.

As Dignity Health Medical Foundation continues to grow and establish new premier care centers, we provide increasing support and investment in the latest technologies, finest physicians and state-of-the-art medical facilities. We strive to create purposeful work settings where staff can provide great care, while advancing in knowledge and experience through challenging work assignments and stimulating relationships. Our staff is well-trained and highly skilled, qualities that are vital to maintaining excellence in care and service.

Responsibilities

Position Summary:

This position is responsible for monitoring Dignity Health Medical Foundation inpatient admissions and concurrent review for appropriate level of care and medical necessity using InterQual and Medicare criteria. This position will work closely with the hospitalist team, Dignity Health Medical Foundation Medical Director's, specialists, clinic staff and Inpatient care coordination to communicate all Dignity Health Medical Foundation inpatient needs, level of care and medical necessity. This position will also work closely with Dignity Health medical Foundation clinical staff, post-acute staff and hospital care coordination to coordinate the care necessary for successful post hospitalization and transition of care needs across the continuum of healthcare.

Qualifications

Minimum Qualifications:

  • California Registered Nursing (RN) license
  • Associate's degree in Nursing (ASN)
  • Three (3) years acute care or related experience, including experience in case management, utilization review or discharge planning

Preferred Qualifications:

  • Bachelor's degree preferred
  • Concurrent review, prior authorizations for medical determination

relevant skills: RN, nurse, care coordination, case management, utilization review, utilization management, concurrent review, inpatient, medical necessity, interqual, managed care

Keywords: Dignity Health, Rancho Cordova , Concurrent Review RN, Other , Rancho Cordova, California

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