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The Utilization Management (UM) Nurse is a licensed nursing professional responsible for reviewing UM cases and discharge planning activities. The UM Nurse may also assist with preparing files for audits and required reporting and ensuring UM cases are reviewed and processed within timeliness standards.
The UM Nurse will work closely with the UM/QI Manager, MSO UM team, MSO Medical Director, and MSO Physician Reviewer on UM case reviews. The UM Nurse will also work with the MSO Case Management team on coordinating patient care to ensure patients can access the necessary medical care to manage their health condition.
This is an FLSA Exempt position.
This is not an OSHA high-risk position.
NEMS is proud to be an Equal Opportunity Employer welcoming diversity in our workforce. Pursuant to the San Francisco Fair Chance Ordinance, we will consider for employment qualified applicants with arrest and conviction records.
NEMS BENEFITS: Competitive benefits, including free medical, dental and vision insurance for employee, spouse and/or children; and company contribution to 401(k).
Full Time
Ancillary Healthcare
$88k-107k (estimate)
09/20/2023
05/14/2024
nems.org
SAN FRANCISCO, CA
100 - 200
1968
Private
DANIEL CLARKE
$10M - $50M
Ancillary Healthcare
The job skills required for Utilization Management Nurse include Patient Care, Basic Life Support, Collaboration, Quality Improvement, etc. Having related job skills and expertise will give you an advantage when applying to be an Utilization Management Nurse. That makes you unique and can impact how much salary you can get paid. Below are job openings related to skills required by Utilization Management Nurse. Select any job title you are interested in and start to search job requirements.
The following is the career advancement route for Utilization Management Nurse positions, which can be used as a reference in future career path planning. As an Utilization Management Nurse, it can be promoted into senior positions as a Head Nurse - CCU that are expected to handle more key tasks, people in this role will get a higher salary paid than an ordinary Utilization Management Nurse. You can explore the career advancement for an Utilization Management Nurse below and select your interested title to get hiring information.