Description: Under the direction of the Kern Health Systems (KHS) Medical Director and Director of Health Services, the UM Nurse RN, FB, will promote coordination and continuity of care and quality management in both the inpatient and ambulatory care settings by the review of referrals and authorization of payment for specialty care and ancillary services. The review will evaluate the appropriateness of care using established criteria and Plan benefit guidelines. Review will be conducted on a prospective, concurrent, and retrospective basis. The UM Nurse RN, FB, manages the required caseload on a monthly basis. Additional duties may include discharge planning and telephone triage functions.
Eligible for Sign-On Bonus of $2000.00
Requirements: Minimum of two years (2) full-time experience or its equivalent as a registered nurse in an acute care hospital, at least one (1) year of which was working within a medical/surgical ward or unit; Three (3) years of full-time, paid work experience equivalent to that gained as a UM Nurse RN, Clinical Intake Coordinator, or Case Manager with Kern Health Systems; Bachelor’s Degree from an accredited school or equivalent in Nursing, Health Administration or related healthcare field preferred; Current Registered Nurse License RN; Valid California Driver License and proof of State required auto liability insurance; Up to 10% driving required
We have an excellent benefit package to include: health care, dental, life, 457b and 401a plan, and other supplemental benefits. As a condition of employment, a satisfactory drug test and background check are required. E.O.E.