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Utilization Manager, Registered Nurse
United States, California
- Eligibility
- Utilization ManagementUtilization ReviewCase Management
- Unit and setting
- Utilization Management · Case Management
- License
- RN licenseNurse Licensure Compact (NLC)
- Term
- Permanent
Do you qualify?
- License
- Nurse Licensure Compact (NLC) Check your license
What it pays
- Against similar roles
- Below most California Case Management postingsCalifornia Case Management postings that state pay run $93k/yr to $195k/yr, the middle half $110k/yr to $140k/yr, across 65 postings.
Benefits
- Paid parental leave
The workplace
COPE Health Solutions
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Your fit
Questions to ask
- Can you walk me through differentials?
- What should I expect for shifts, weekly hours, weekend, holiday, call, and rotation?
- What orientation, preceptor time, and ongoing unit support are included?
- How are patient load, floating, and staffing support handled day to day?
Original listing
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Assesses member needs and identifies solutions that promote high quality and cost-effective health care services. Manages providers, members, team, or care manager generated requests for medical services and renders clinical determinations in accordance with healthcare policies as well as applicable state and federal regulations. Delivers timely notification detailing clinical decisions. Coordinates with management, subject matter experts, physicians, member representatives, and discharge planners in utilization tracking, care coordination, and monitoring to ensure care is appropriate, timely and cost effective. Works under general supervision.