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University of California - Irvine Health

RN Case Manager: Utilization & Care Coordination

irvine, CA

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Job description

UCI Health in Irvine, CA, is seeking an experienced Registered Nurse to lead utilization management for admitted patients. You will monitor resource use, perform concurrent reviews using InterQual criteria, and communicate with physicians to ensure accurate illness severity documentation.

The role requires 5+ years of acute-care nursing experience, knowledge of payer processes, and strong collaboration with health plans. A BSN and active RN license are preferred.

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Worksite address

irvine, CA, 92713, US

Who can apply

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