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RN Utilization Management, CHOC Health Alliance

Company: Children's Hospital of Orange County
Location: Orange
Posted on: August 1, 2022

Job Description:

Work LocationOrange, CaliforniaWork ShiftDay - 08hrs (United States of America)Why CHOC?At CHOC Children's, we strive to be the leading destination of children's health by providing exceptional and innovative care. We are responsible for the overall health of our community's pediatric population in our hospitals, clinics, and practices. And because of our breadth of care, your career at CHOC Children's can be as diverse and fulfilling as you determine. CHOC Children's compensation structure, benefits offerings, and career development programs are geared to helping you achieve your professional and personal goals. Apply now to see where your career at CHOC Children's can take you.Job SummaryThe Utilization Management (UM) RN utilizes independent clinical judgement and expertise to coordinate benefit management, and promote quality, cost- effective health care. The UM RN works both independently, while also collaborating with the Medical Director and entire UM team, to ensure requests are reviewed with consideration to medical necessity, appropriateness of requested services and compliance with regulatory guidelines. This position requires attention to detail, outstanding organizational skills and efficient work habits.Experience:* Required: Minimum of two (2) years of pediatric experience* Preferred: One or more years of Utilization or Case Management experienceEducation:* Required: Bachelor of Science in Nursing degree (BSN)Specialized Skills:* Required: Able to communicate effectively in English in person, in writing, and on the telephone; think critically; manage multiple assignments effectively; organize and prioritize workload; work well under pressure; problem solve; recall information with accuracy; pay close attention to detail; work independently with minimal supervision. * Preferred: Experience with Cerner, MCG or other evidence-based clinical guidelines; EZ-Cap and/or Microsoft OfficeLicensure:Required: California Registered Nurse license. Basic Life Support (BLS) certification.

Keywords: Children's Hospital of Orange County, Orange , RN Utilization Management, CHOC Health Alliance, Healthcare , Orange, California

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