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Registered Nurse, Utilization Management/Quality Improvement (UM/QI) - Capitation

San Diego, California Apply
Job ID 1723 Date posted 02/10/2019 Schedule Full-Time Shift Temporary Hours Full-Time Department Nursing; CHOC MSO


Under the supervision of the UM/QI Supervisor and/or Manager & Compliance Liaison, the Utilization/Case Manager Nurse coordinates the delivery of care through assessment, planning, facilitation, & patient advocacy to ensure cost-effective, quality outcomes of care. The Utilization/Case Manager Nurse works with all members of the health care team to ensure optimal outcomes are reached while appropriate utilization occurs.


Associate’s Degree

3 years of experience

California RN License

Knowledge of common medical insurance operations

Managed Care experience (will consider Hospital Case Management Experience)

Strong mathematical and reasoning skills


Bachelor’s Degree

Pediatric Nursing Experience

Case Management Certification Experience


Schedule: Day Shift, 8 hour shifts

FTE:Full-time/Benefit Eligible

Location:CHOC Administration

Contract: Casual position, contracted through 02/28/2020 and is subject to renewal thereafter


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  • Nursing, San Diego, California, United StatesRemove
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