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Utilization Review Nurse (RN) (7843)

Utilization Review Nurse | Woodland Hills, CA | Contract

Job Description
Utilization Review Nurse (RN)
Work Location: Woodland Hills, CA

InGenesis has an exciting opportunity for a Utilization Review Nurse (Registered Nurse) to work with our client located in Woodland Hills, CA. As the UR Nurse, you’ll work behind the scenes to maximize cost efficiency and quality of various health care services. Through reviews and audits, you’ll ensure that patients receive care they need without burdening health care systems with unnecessary procedures, ineffective treatments and/or overlong hospital stays.

So, if you’re ready to provide patients with information they need, apply now and we’ll reach out to answer any questions you may have!

Job Duties/Responsibilities/Functions (including but not limited to)
• Investigate assigned cases.
• Obtain/organize/label clinical documents.
• Research internal databases/outside sources as needed.
• Prepare written summaries of relevant medical and related records.
• Determine appropriate review level based on departmental protocols and case findings.
• Record comprehensive rationale for case closure or escalation to next level review.
• Prepare cases on-line using department database.
• Present case review summaries/findings to Medical Director.
• Perform other duties as assigned.

Minimum Qualifications
• Current Registered Nurse (RN) license as issued by the state of California.
• 3+ years of nursing experience.
• Quality Management experience.

About InGenesis
InGenesis is dedicated to placing people in positions that preserve life, improve lives and inspire others. This does not happen without passionate people, skilled colleagues who are motivated to create innovative solutions and deliver superior service to our clients. Founded in 1998, InGenesis manages thousands of employees, including pioneering healthcare, science, technology and pharma professionals. The workforce solutions company includes almost half of the Fortune 500 in its nearly 300 clients. It is recognized as one of the largest healthcare staffing firms, and InGenesis is the largest minority/women owned healthcare staffing firm in North America.

EEOC Statement
We support a diverse workforce and is an Equal Opportunity Employer who does not discriminate against employees and applicants for employment on the basis of race, gender, color, religion, national origin, age, sexual orientation, gender identity, genetic information, disability, veteran status, or other classification protected by law.