Nurse Coordinator

  • location: Los Angeles, CA
  • type: Temp to Perm
  • salary: $36 - $45 per hour
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job description

Nurse Coordinator

Are you passionate about patient care? Do you enjoy working and resolving issues? If you thrive in a dynamic environment and have a real passion for helping people, we'd love to hear from you.
As a Continuity of Care Nurse you will provide organizational support in utilization management, and patient care coordination using established care criteria. You will process referral authorizations requests from physicians and vendors. You will be responsible for carrying out the management of medical episodes across the health continuum, including coordination of patient, family, doctor, hospital and health plans, documenting in the electronic record and certain products. You may be responsible for implementation of protocols and programs to assist and educate the network physician offices, insurance vendors and hospital departments.
Working hours: 8:00 AM - 5:00 PM
- In processing referrals, you will utilize health plan medical guidelines, DOFR, and within insurance benefit structure of the patient policy
- Adhere to Federal, State and health plan regulatory guidelines
- Will attend Utilization Review Committee meetings as well as staff meetings
- Ability to handle phone calls on a daily basis to answer questions and requests
- Ability to handle very complex referral process
- Must be LVN or RN
- 5+ years of referral authorization experience
- Excellent handling or resolving phone issues
- Team Player
- Heavy with utilization management background
- Continuity of Care- Ambulatory background
Randstad is a world leader in matching great people with great companies. Our experienced agents will listen carefully to your employment needs and then work diligently to match your skills and qualifications to the right job and company. Whether you're looking for temporary, temporary-to-permanent or permanent opportunities, no one works harder for you than Randstad. EEO Employer: Race, Religion, Color, National Origin, Citizenship, Sex, Sexual Orientation, Gender Identity, Age, Disability, Ancestry, Veteran Status, Genetic Information, Service in the Uniformed Services or any other classification protected by law. San Francisco Fair Chance Ordinance: Qualified applicants in San Francisco with criminal histories will be considered for employment in accordance with the San Francisco Fair Chance Ordinance. City of Los Angeles' Fair Chance Initiative: We will consider for employment all qualified Applicants, including those with criminal histories, in a manner consistent with the requirements of applicable state and local laws, including the City of Los Angeles' Fair Chance Initiative for Hiring Ordinance.
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