Utilization Review - Registered Nurse
Community Hospital of the Monterey Peninsula - Monterey, CA

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Position Summary

The Utilization Review Nurse is a Registered Nurse directly responsible to the Director of the Social Services Department. The Utilization Review Nurse facilitates quality care by evaluating the admission and continued stay of patients utilizing Intensity of Service/Severity of Illness criteria. The Utilization Nurse assures accuracy and completeness of the Medical Record utilizing standards established through the Severity Assurance Program.


Must be a Registered Nurse currently licensed to practice in the State of California. Must have 5 years current acute hospital experience and broad clinical expertise to evaluate patient diagnosis and treatment plan and outcomes utilizing established criteria. Demonstrates strong organizational skills, effective communication and public relations skills. Knowledge of financial reimbursement, related to State, Federal and commercial insurance is preferred.

Equal Opportunity Employer

Additional Information
Weekend and/or Holiday Rotation may be required.

Community Hospital of the Monterey Peninsula - 18 months ago - save job - copy to clipboard