Utilization Management Nurse – REMOTE (CA)

Capital Staffing Solutions has been nationally recognized as a leader in our industry. Our organization is dedicated to building relationships with potential candidates so we can understand their occupational needs and aspirations. Our devotion to our consultants as they gain experience and grow professionally provides security as they strive to achieve their ultimate career goals. We are committed to the success of our consultants and work closely with candidates throughout the entire interview and screening process.

Review Hospice medical records, experience with Medi-Cal and UM procedures would be great. Need a strong RN who can multi-task and work quickly to make decisions. This will be a mostly audit heavy role.

Assist with reviewing medical records from hospices Determining if the provider is providing the required documents. Hospice Fraud issue going on and they will help detect these fraudulent cases Need Hospice and Utilization Management exp Medi-Cal exp is a big plus