RN Care Manager
at Ronin Staffing

Date Posted: 9/1/2020

Job Description

Title: RN Care Manager 
Pay: DOE
Location: Commerce, CA 90040
Duration: 4 month contract with possible extension
Schedule: 9-6

Job Description:

  • RN, UM Referral nurse serves as the lead UM Referral nurse and supports the leadership team in maintaining compliance with regulatory guidelines.
  • The RN, Utilization Management Referral nurse will provide routine review of authorization requests from all lines of business using respective national/state, health plan, nationally recognized guidelines.
  • The RN, UM Referral nurse will support the UM leadership team to provide guidance for processing of referrals.
  • The RN, UM Referral Nurse may review retro claims reviews for outpatient authorization, inpatient authorizations, and Emergency Room claims.
  • The RN, UM Referral Nurse may be involved in ad hoc projects and analysis of high cost utilization areas, unmanaged care, inappropriate utilization, inappropriate billing practices, and budgeting/finances reporting.
  • The RN, UM Referral Nurse may provide oversight, guidance, and training sessions to UM nurse reviewers and other UM staff where applicable.
  • The RN, UM Referral nurse serves as the lead UM Referral nurse and supports the leadership team in maintaining compliance
  • with regulatory guidelines.

Job Snapshot

  • Employee Type: Contractor
  • Location: Commerce, CA
  • Job Type: Management
  • Experience: Not Specified
  • Date Posted: 9/1/2020

About Us

Founded in 1999 as a woman- and minority-owned IT staffing organization, Ronin Staffing has grown into a full-service staffing search firm that recruits and places qualified and quality candidates with expertise in a wide range of areas, including Engineering, Aerospace, Administration, Accounting/Financing, to name a few. We offer contract-only, contract-to-hire or direct-hire services to our clients and our contractors alike.

Our team of experienced, dynamic and tenacious recruiting specialists will provide you with the personal assistance you need to keep your career moving onward and upward. Whether you are looking for hourly, mid-management or executive level positions, you can be confident in our recruiters’ ability to match you with just the right assignments with just the right companies to suit your needs. Many members of our staff have backgrounds in the industries for which they now recruit, and Ronin has become one of the leaders in providing professionals to Fortune 100, 500, and 1000 companies.

We are proud to offer you a full line of services to help you to meet your career objectives, including resume assistance, human resources consulting, and expert guidance on professional interviewing techniques. We also offer direct deposit and a competitive benefits package.

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