Concurrent Review RN
Company: Dignity Health
Location: Rancho Cordova
Posted on: June 6, 2021
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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: Preferred Qualifications: 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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