✨ About The Role
- The role involves utilizing clinical experience to assess, plan, implement, and monitor healthcare services for members
- Responsibilities include gathering clinical information, applying appropriate criteria, and communicating with providers to facilitate care and treatment
- Identifying referral opportunities and promoting quality effectiveness of healthcare services are key aspects of the position
- The position requires proficiency in navigating multiple systems, keyboarding, and close inspection of documents
- The job offers a competitive pay range, bonus opportunities, comprehensive benefits, and various well-being programs for employees
âš¡ Requirements
- Ideal candidate will have at least 3 years of experience as a Registered Nurse, with a preference for 3+ years of clinical experience
- Must possess active and unrestricted RN licensure in the state of residence, with a willingness to obtain California RN licensure within 6 months of hire
- Ability to work Monday through Friday 8am to 5pm in the time zone of residence, with flexibility for holiday rotations as needed
- Proficiency in computer skills, multitasking, and adapting to a fast-paced environment is essential
- Effective communication skills, both verbal and written, are required for successful coordination with internal and external constituents