Job Description

Crown Bay Nursing and Rehabilitation has been serving the community of Alameda, CA for many years providing compassionate and personal skilled care 24 hours a day. We’ve worked hard to create a home-like environment that allows our residents to experience the comfort and security they need to function at their highest capacity and optimum quality of life.

We provide an interdisciplinary approach to patient care. We put an emphasis on staff training and development so that we employ the most outstanding people to care for your loved ones.

We are seeking to hire a self-motivated, efficient, responsible  Utilization Review Nurse for a beautiful and organized SNF with 135 beds in the heart of Alameda, California, overlooking the San Francisco Bay.

Duties:

• Concurrent review of patient’s clinical information for efficiency
• Ongoing review of precertification requests for medical necessity
• Monitor the activities of clinical and non-clinical staff
• Coordinates patient’s discharge planning needs with the healthcare team
• Maintain accurate records of all patient related interactions
• Prepare monthly patient management and cost savings report
• Work in an intensive, fast-paced environment with minimal supervision
• Ability to stay organized and interact well with others in any situation
• Provide daily updates to Manager of Utilization Management for review.
• Other duties as assigned by management.

What You Will Bring:

• Bachelor’s degree in Nursing
• State licensure as a Registered Nurse (RN)
• Minimum 2 years of prior experience in Utilization Management
• Strong knowledge of word processing and spreadsheet computer programs
• Utilization Management or Case Management certification preferred.

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