Review Nurse
Location:
Ontario , California
Posted:
February 08, 2017
Reference:
419914621
A Review Nurse job in Ontario, CA is available through Adecco Medical & Science. You will be working to improve member's transition and outcomes throughout the inpatient care process. You will be responsible for increasing work volume staffing challenges and improved discharge and transition of care planning

Duties:

Covers duty assignments as directed for various IPA's
Coverage assignments are directed to assist with new Medical Management Network Inpatient Initiatives across the Network along with cover of nurse case managers who are on PTO, leave, or assigned other temporary duty
Coverage assignments are directed to cover nurse case managers who are on PTO, leave, assigned other temporary duties
Most assignments are temporary and are directed to support multiple IPA staffing needs
Duties are relegated to fill in for Concurrent Review Case Managers at local Acute Hospitals, Skilled Nursing Facilities and Pre-Certification Authorization/referral review Nurse duties
Assignments can be either in a hospital setting or at the IPA/Medical Group Office

Qualifications

High school Diploma or equivalent
CA Licensed RN or LVN
1 - 2 years managed care experience
1 plus years nursing experience in an Acute Hospital setting (Med/Surg, Tele, ICU) or like setting
Willingness to work at various job sites dependent on Network needs

Additional information

Ability to perform concurrent review case management of patients in an Acute or SNF setting (utilization/clinical review and discharge planning)
Ability to perform prior authorization/referral case management duties in the managed care setting (Specialty MD referrals, DME/Injectable referrals, Surgery Procedure referrals)
Hours: MONDAY - FRIDAY 8:30 AM to 5: 00 PM


If you are interested in this Nurse Review job in Ontario, CA then please click APPLY NOW. For other opportunities available at Adecco Medical and Science go to www.adeccousa.com. If you have questions about the position or would like more information, please contact Catherine Vu at (858) 812-2600 or by email at catherine.vu@adeccona.com.

Equal Opportunity Employer Minorities/Women/Veterans/Disabled






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