UM RN/LVN (Inpatient) - 250642

Medix provides workforce solutions to clients and creates opportunity for talent in the Healthcare, Life Sciences, Engineering and Technology fields. Through our core purpose of positively impacting lives, we have earned our reputation as an industry leader by providing unsurpassed customer service and top quality professionals to our clients.

The Inpatient Review Nurse supports patients through the continuum of care by collaborating with physicians, case managers, discharge planners, ancillary service providers, and community resources. This role ensures patients receive the most appropriate, cost-effective, and safe level of care. RN Pay: $45-$52 LVN Pay: $37-$43 Shift: Tuesday - Saturday OR Sunday - Thursday (8am-5pm PST)

Conduct inpatient reviews for patients with complex medical and social needs. Review inpatient admissions promptly, applying evidence-based guidelines to determine level of care and continued stay. Coordinate care with contracted ancillary providers, community agencies, and IPA/MGs as necessary. Perform follow-up reviews in ambulatory or lower levels of care settings. Communicate effectively with patients, families, physicians, and care teams to support safe, coordinated care. Identify members needing complex or chronic case management post-discharge; facilitate warm handoffs to ambulatory care teams. Oversee daily activities of CCIP Coordinators. Record all communications and care activities in EZ-Cap and/or case management systems. Participate in multidisciplinary patient care conferences and rounds. Monitor, document, and report clinical criteria in line with UM policies and procedures. Track and report utilization patterns, including overutilization and underutilization. Refer cases as appropriate to the Quality Management department. Enter data for case management reporting. Provide regular updates on open cases to the Medical Director, Director of Healthcare Services, and UM Manager.