Required Skills and Experience *- 3+ years hospital inpatient acute care/medical experience; ICU, Medsurge, etc
- Current California Registered Nurse license OR LVN
- Strong critical thinking and communication skills; adaptable, proactive, and flexible
CA driver's license
Nice to Have Skills and Experience- Bachelor's degree in nursing
- Familiarity with MCG or Interqual
- Active, unrestricted Utilization Management Certification (CPHM)
Job Description *Insight Global is looking for a passionate and experienced Care Review Clinician to join their team. This role will be remote working off of PST hours, it is preferred this employee sits within a PST time zone. These openings are designed to cover the inpatient team and acts as a float team. This person will be responsible for: assessing inpatient services for members, cost effectiveness, and compliance with all state and federal regulations; analyze clinical service requests from members or providers against evidence based clinical guidelines; identify benefits, eligibility, and length of stay for treatments; and conduct inpatient reviews to determine financial responsibility for the company and its members. Each nurse will care for 25-30 cases. Across the LA county, they are caring for around 500 patients a day.
Job Type: Full-time
Pay: $40.00 - $55.00 per hour
Benefits:
- 401(k)
- 401(k) matching
- Dental insurance
- Employee assistance program
- Flexible schedule
- Health insurance
- Life insurance
- Paid time off
- Retirement plan
- Vision insurance
Ability to Commute:
- Long Beach, CA (Preferred)
Ability to Relocate:
- Long Beach, CA: Relocate before starting work (Required)
Work Location: In person