Registered Nurse/Utilization Review Job at Emonics LLC, Beverly Hills, CA

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  • Emonics LLC
  • Beverly Hills, CA

Job Description

Shift: Day 5x8-Hour (08:30 - 17:00) Description: ***Hybrid/Remote*** Orientation Location: 8501 Wilshire Blvd, Beverly Hills, CA Required:

  • RN license in CA
  • 3 years of clinical experience in hospital or urgent care
  • Utilization review experience
  • Knowledge of ICD10, CPT, HCPC
  • Familiarity with HMO, PPO, POS
Preferred:
  • Managed care experience
  • Knowledge of medical management process
  • Knowledge of NCQA regulations
Position / Specialty: Outpatient/Utilization Review Years of experience REQ: 3 years First-timers accepted: Yes Weekend REQ: No Certs REQ: BLS Is on-call REQ? No Will clinician float within scope to meet facility needs? No Locals accepted: Yes Pending License accepted: No RTO Restrictions: None Hospital Highlights Type of Facility: Outpatient Charting: Epic Emonics LLC

Job Tags

Local area, Shift work, Weekend work,

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