Utilization Management Nurse, Senior

Your Role

The CalPERS concurrent review team oversees members admissions at inpatient settings along the continuum of care to ensure services are provided at the most appropriate level of care. The CalPERS Nurse Senior will report to the CalPERS Sr. Manager. In this role you will be part of a dynamic team that processes concurrent review cases based on regulatory and medical necessity guideline criteria.

Your Knowledge and Experience

• Bachelors of Science in Nursing or Advanced Degree preferred

• Requires a current California RN License

• Requires at least 5 years of prior relevant experience

• CalPERS membership experience highly preferred
• The ability to clearly convey information, actively listen, and adapt communication style to different audience is desired
• Proficiency in AA, MS Suite, MCG, Facets, and SharePoint desired