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Inland Empire Health Plan (IEHP)

Other

San Bernardino, CA

Full Time

INPATIENT REVIEW NURSE MANAGER

Under the direction of the UM Director, responsible for the oversight of the Inpatient Review Nurses. Three or more years experience with medical groups and an in-depth knowledge of all aspects of managed care operations with extensive knowledge of HMO and IPA operations with an emphasis on Concurrent Review and utilization management. Self-starter and team player. Analytical skills, time management, and problem solving. Microcomputer applications required. Must have a high degree of patience, excellent communication, interpersonal and organizational skills. Knowledge of evidence based clinical criteria and CCS.

Qualifications

State of CA RN License required. Possession of a bachelor's degree preferred. Possession of a valid CA driver's license and auto insurance.

Salary & Benefits

Competitive Salary & Benefits Package

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