• Utilization Review Coordinator, Utilization Management, Full-Time, 8 Hour

    Requisition ID
    Licensed Nursing Positions
    Clovis Community Medical Center (CCMC)
    Posted Date
  • Overview

    The perfect blend of exceptional care and comfortable accommodations, Clovis Community Medical Center remains a top choice for women's services, labor and delivery, advanced minimally invasive surgeries, sports medicine, and weight-loss surgery. Home to the Marjorie E. Radin Breast Care Center, California's premier breast care center, we offer screening, diagnostics, and treatments using the most cutting-edge technology available. We're a family-oriented, suburban hospital at the base of the Sierra Nevada Mountains that's part of the Community Medical Centers healthcare network. Expanded in 2012, Clovis Community has 208 all-private rooms - making Clovis Community the only comprehensive hospital in the area with all-private rooms. Patients can expect excellent care that starts the moment they arrive. Recipient of the 2016 Healthgrades Outstanding Patient Experience Award and voted "People's Choice BEST HOSPITAL" for the past 3 years, Clovis Community is transforming how patients experience healthcare. Whether for inpatient or outpatient care, we're here to provide the best possible experience and the highest quality care for the people we serve. That means we are able to offer a variety of ways for you to grow - both in the way you do your job as a healthcare professional and in the way you live your personal life. If you share our passion for providing the best possible care for each and every patient, you should consider a career with our team at Clovis Community Medical Center.


    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.


    Associate's Degree in nursing. Two years experience as a Registered Nurse with experience in discharge planning, case management or utilization management. PREFERRED: Bachelor's Degree in nursing. LICENSES/CERTIFICATIONS MINIMUM REQUIRED: Current California Registered Nurse license. Current BLS certification. PREFERRED: Accredited Case Manager (ACM) license; and/or Certified Case Manager (CCM) license.


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