Job Description:

Join our team as a Utilization Review Nurse II in Bakersfield, California, where you'll be the key player in ensuring the appropriate use of hospital resources through comprehensive review and discharge planning. Your day will involve evaluating medical records for inpatient admissions, verifying documentation requirements, and collaborating with physicians to facilitate timely and compliant patient discharges. You'll coordinate with various hospital departments and external payor sources, addressing prior authorizations, medical necessity, and reimbursement considerations. This role offers an engaging mix of clinical knowledge application and administrative oversight, where your expertise helps streamline patient flow and optimize hospital operations. Your skills will also be instrumental in educating healthcare providers on documentation standards to maximize reimbursement and ensure compliance—bringing both precision and a touch of mentorship to your daily tasks.

Weather:

The weather during this time of year tends to be warm and sunny, with clear skies and mild evenings, creating a comfortable environment both indoors and outdoors.

Fun Things To Do:

• Local Park Visits: Explore the scenic pathways and picnic spots at Repeat Vineyard.
• Farmer’s Market Tours: Discover fresh local produce and artisanal treats downtown.
• Day Trip to Sequoia National Forest: Enjoy hiking, picnicking, and breathtaking natural beauty just a couple of hours away.
• Museum Tour: Visit the Bakersfield Museum of Art for engaging exhibits and cultural insights.
• Wine Tasting Excursion: Take a day trip to nearby wineries for tasting and tours of local vineyards.

Job Specifics:

Location: Bakersfield, California
Shift: Days
Duration: 13 weeks
Hours per Week: 40 hours

• Medical Insurance
• Dental Insurance
• Vision Insurance
• Life Insurance
• Voluntary Benefits including life insurance, accident, etc.
• Referral Program
• Housing Options
• Continuing Education Program
• 401(k)
• License and Certificate Reimbursement
• Paid Bereavement Leave