Utilization Review Coordinator, PRN

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profile Job Location:

Fresno, CA - USA

profile Monthly Salary: Not Disclosed
Posted on: Yesterday
Vacancies: 1 Vacancy

Job Summary

Overview

Opportunities for you!

  • Consecutively recognized as a top employer by Forbes and in 2025 by Newsweek
  • Vacation time starts building on Day 1 and builds with your seniority
  • Free money toward retirement with a 403(b) and matching contributions
  • Great food options with on-demand ordering
  • Free parking and electric charging

Commitment to diversity and inclusion is a cornerstone of our culture at Community. All are welcome as valued members of our community.

We know that our ability to provide the highest level of care is through taking care of our incredible teams. Learn more on our Benefits page.

Responsibilities

The Utilization Review Coordinator is 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
Associates Degree in Nursing required
Bachelors Degree in Nursing preferred
Experience
2 years of clinical nursing experience required
Experience in discharge planning case management or utilization review preferred
Licenses and Certifications
RN - Current and valid Registered Nurse license to work within the state of California 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

Disclaimers

Pay ranges listed are an estimate and subject to change.
If any bonuses are noted they are only applicable to external hires meeting criteria.


Required Experience:

IC

OverviewOpportunities for you!Consecutively recognized as a top employer by Forbes and in 2025 by NewsweekVacation time starts building on Day 1 and builds with your seniorityFree money toward retirement with a 403(b) and matching contributionsGreat food options with on-demand orderingFree parking a...
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About Company

Community Health System provides a world of opportunities for professional growth and personal advancement. You love what you do, now love where you do it!

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