RN Case Manager/Utilization Review - Case Management - Full Time 8 Hour Rotating Shifts (Non-Exempt) (Union)
Events/University Recruiting (19 days ago)
About this role
The RN Float Case Manager and Utilization Review Nurse provides flexible nursing coverage, alternating between case management and utilization review roles within a hospital setting. The position supports care coordination and patient transitions while also performing clinical reviews related to admissions, continued stays, and payer authorizations. It ensures regulatory compliance and accurate documentation in electronic systems.
Required Skills
- Care Coordination
- Discharge Planning
- Utilization Review
- Medical Necessity
- Patient Assessment
- Interdisciplinary Collaboration
- Documentation
- Prior Authorization
- Denial Management
- Quality Improvement
Qualifications
- Associate’s Degree Nursing
- Bachelor’s Degree Nursing
- Registered Nurse - RN (CA DCA)
- Basic Life Support (AHA)
- Fire Life Safety Training (LA City)
About Events/University Recruiting
usc.eduThe University of Southern California (USC) is a private research university in Los Angeles, founded in 1880. It offers a wide range of undergraduate, graduate, and professional programs across schools such as engineering, business, cinematic arts, medicine, and law, and is known for interdisciplinary research and substantial industry partnerships. USC emphasizes innovation, entrepreneurship, and public service, with large research expenditures, extensive clinical and cultural facilities, and global engagement. Its large alumni network and Los Angeles location provide strong connections to entertainment, technology, and healthcare sectors.
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