Utilization Management Nurse, Senior
Company: Blue Shield of California
Location: Rancho Cordova
Posted on: October 19, 2024
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Job Description:
Your Role
The Utilization Management team reviews the inpatient stays for our
members and correctly applies the guidelines for nationally
recognized levels of care. The Utilization Management Nurse will
report to the Utilization Management Nurse Manager. In this role
you will be assigned a list of inpatient facilities and then review
clinical information provided by the facilities to determine
medical necessity when our members admit. - You will also be
involved with discharge planning and transfers as needed for higher
levels of care or out of network admissions. -
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Your Work
In this role, you will:
Your Knowledge and Experience
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Pay Range:
The pay range for this role is: $ 87230.00 to $ 130900.00 for
California.
Note:
Please note that this range represents the pay range for this and
many other positions at Blue Shield that fall into this pay grade.
Blue Shield salaries are based on a variety of factors, including
the candidate's experience, location (California, Bay area, or
outside California), and current employee salaries for similar
roles.
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Keywords: Blue Shield of California, San Bruno , Utilization Management Nurse, Senior, Executive , Rancho Cordova, California
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