Registered Nurse - Utilization Management

Are you a compassionate and dedicated Registered Nurse looking for a new opportunity? Look no further than Cedars-Sinai Medical Center! We are seeking a highly skilled and experienced RN to join our Utilization Management team. As a member of our team, you will play a crucial role in ensuring quality patient care by managing the utilization of resources and services. Your expertise and commitment to patient advocacy will make a meaningful impact on the lives of our patients and their families. If you have a passion for providing exceptional care and possess the required qualifications, we would love to have you join our team!

1. Manage utilization of resources and services to ensure quality patient care.
2. Review and analyze medical records to determine appropriate utilization of resources.
3. Collaborate with interdisciplinary teams to develop and implement care plans.
4. Provide guidance and education to patients and families regarding utilization management.
5. Monitor and track patient outcomes and make recommendations for improvement.
6. Communicate with insurance companies and other payers to obtain authorizations for services.
7. Maintain accurate and detailed documentation of utilization management activities.
8. Adhere to all regulatory and compliance standards related to utilization management.
9. Participate in ongoing training and education to stay updated on industry changes and best practices.
10. Serve as a patient advocate and ensure their needs are met throughout the healthcare process.
11. Work collaboratively with physicians, nurses, and other healthcare professionals to ensure continuity of care.
12. Identify and report any potential issues or concerns related to patient care.
13. Participate in quality improvement initiatives and contribute to the development of new policies and procedures.
14. Maintain confidentiality and adhere to ethical standards in all interactions with patients and their families.
15. Demonstrate a commitment to professional development and continuously strive to improve skills and knowledge.

According to JobzMall, the average salary range for a Registered Nurse - Utilization Management in Los Angeles, CA, USA is $84,000 - $105,000. This range can vary depending on factors such as years of experience, education level, and specific job responsibilities.

Cedars-Sinai Medical Center is a non-profit, tertiary 886-bed hospital and multi-specialty academic health science center located in Beverly Grove in the Mid-City West area of Los Angeles, California.