Concurrent Review/Transition of Care Nurse, RN - 25-211

Hill Physicians Medical Group(2 months ago)

HybridFull TimeMedior$110,000 - $125,000Utilization Management

About this role

This role at Hill Physicians Medical Group focuses on managing inpatient and outpatient utilization to ensure care is appropriate, efficient, and medically necessary. The position works within a managed care environment and partners with internal teams and external stakeholders to support members’ care across settings.

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Required Skills

Utilization Review
Discharge Planning
Concurrent Review
Retrospective Review
Care Coordination
Managed Care
Denial Letters
Clinical Documentation
Authorization Management
Stakeholder Communication

Qualifications

California Nursing License (RN or LVN)

About Hill Physicians Medical Group

hillphysicians.com

We deliver top-tier healthcare across the San Francisco Bay, Sacramento, and Central Valley regions. Hill Physicians is supported by PriMed Management Consulting Services, offering comprehensive management and support to ensure exceptional care for our members."

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