Registered Nurse (RN) Utilization Review Coordinator, Psychiatric Care – Community Health System – CA – Fresno, CA

Overview:

• All positions are located in Fresno/Clovis CA *

Community Medical Centers has been providing central California with the highest level of care available in the region. Community Regional Medical Center measures up with top hospitals nationally and is the 3rd largest in California! With 685 beds, we are home to the only comprehensive Burn and Level I Trauma center between Los Angeles and Sacramento. The 56,000 square-foot emergency department is one of the largest and busiest in California! We have an 84-bed Level III NICU and plan to significantly expand pediatric specialty care. Our hospital serves 2.5 million people within 9 counties, averaging a daily census of 641 patients. We’re affiliated with UCSF as a teaching facility; trained 3,000 Medical Doctor’s to date plus continuous invests in research and training grants.

Responsibilities:

Responsible for various aspects of utilization management to ensure that care is rendered in accordance with intensity of service and severity of illness standards at all times during the acute stay, utilizing InterQual system as a guideline. Works collaboratively with the Case Management team, other departments, and physicians to facilitate efficient and appropriate management of all cases.

Qualifications:

Education

• Associate’s Degree in Nursing required
• Bachelor’s Degree in Nursing preferred

Experience

• 2 years of experience as a Registered Nurse with experience in discharge planning, case management or utilization management required or
• 5 years of LVN experience in discharge planning, case management or utilization management required

Licenses and Certifications

• RN – Current State of California Registered Nurse license required
• BLS – Current Basic Life Support (BLS) for Healthcare Providers by American Heart Association (AHA) required
• ACM – Accreditation in Case Management preferred
• CCM – Certified Case Management preferred

Please note: Per the CDPH order, all healthcare workers are required to be vaccinated for COVID-19 or have an approved exemption and test regularly.

Please note: If any bonuses are noted, they are only applicable to external hires.

Candidates must also meet current bonus requirements to be eligible.