Job Description

LinkedRN.com

Medix 

We are currently searching for an RN for a Quality / Utilization Management / Compliance / Utilization Review position for a large medical group located near El Segundo, CA.

This team is the Central Denial unit for the Medical Group.

Responsible for educating the individual Care Management regional departments on the regulatory requirements from all regulatory organizations (CMS, NCQA and contracted Health Plans) and for assisting the regions in maintaining regulatory compliance of Care Management processes.

Acts as a resource in the areas of referral processing, denial letter processing and clinical decision-making.

The hours are M-F 8am to 5pm.

 

How to Apply

Click here to apply on LinkedRN.com

http://bit.ly/1O0JZk7

 

Job Categories: Healthcare. Job Types: Full-Time. Job Tags: Utilization Management Compliance RN. Salaries: 80,000 - 100,000.

361 total views, 1 today

Apply for this Job

Name *

Email *

Message *

Upload resumé (pdf, doc, docx, zip, txt, rtf)

Upload cover letter (pdf, doc, docx, zip, txt, rtf)