Job Description & Requirements
Utilization Review - Managed Care Nurse - (UL RN)
Exclusive order to AMN. The flagship Medical Center for this major hospital organization, is community-focused, with a highly specialized care environment. Located in East Bay of the San Francisco area, and only 12 miles from downtown. Enjoy 13 weeks in a variety of adventure in culture, arts and food.
Process utilization management (UM) denials, chart reviews and
participate in audit activities. Process letters for autism/ PT/OT/ST specialties for utilization management denial. This Unit generates 6,000 UM denials per year so the productivity level per RN is 20 letters. This project will not provide patient care.
Shift: 8 Day 8:00a - 5:00p