Hospital RN - Care Coordination & Utilization Review Job at Pyramid Consulting, Inc, San Jose, CA

Vi9vazZYZUl2c1VrSFlHa2RXTUxVK2kya2c9PQ==
  • Pyramid Consulting, Inc
  • San Jose, CA

Job Description

Immediate need for a talented Hospital RN – Care Coordination & Utilization Review . This is a 06+months contract opportunity with long-term potential and is located in San Jose, CA (Onsite). Please review the job description below and contact me ASAP if you are interested.

Job ID: 25-80861

Pay Range: $80 - $95/hour. Employee benefits include, but are not limited to, health insurance (medical, dental, vision), 401(k) plan, and paid sick leave (depending on work location).

Key Responsibilities:

  • Conduct utilization reviews using InterQual® / MCG®
  • Support discharge planning and post-acute coordination
  • Communicate with physicians, social work, and external providers
  • Manage authorizations and payer-related workflows
  • Maintain compliance with regulatory standards

Key Requirements and Technology Experience:

  • Key Skills; CA RN License (Active)
  • Acute inpatient hospital experience
  • UM / Case Management / Discharge Planning background

Our client is a leading Healthcare Industry and we are currently interviewing to fill this and other similar contract positions. If you are interested in this position, please apply online for immediate consideration.

Pyramid Consulting, Inc. provides equal employment opportunities to all employees and applicants for employment and prohibits discrimination and harassment of any type without regard to race, color, religion, age, sex, national origin, disability status, genetics, protected veteran status, sexual orientation, gender identity or expression, or any other characteristic protected by federal, state or local laws.

By applying to our jobs you agree to receive calls, AI-generated calls, text messages, or emails from Pyramid Consulting, Inc. and its affiliates, and contracted partners. Frequency varies for text messages. Message and data rates may apply. Carriers are not liable for delayed or undelivered messages. You can reply STOP to cancel and HELP for help. You can access our privacy policy here .

Job Tags

Contract work, Local area, Immediate start

Similar Jobs

Confidential

MULTIMEDIA DESIGNER Job at Confidential

 ...Runway (for video automation and rotoscoping), Midjourney, etc (for visual concepts and digital art), Descript or ElevenLabs (for voice-over and script audio editing), Topaz Video Enhance AI (for resolution upscaling) Familiarity with digital prototyping and product... 

Delta Downs

Custodian II Job at Delta Downs

 ...position Boyd Gaming Corporation to maximize value for our shareholders, our team members and our communities. Job Description Clean and maintain public areas, including but not limited to: hallways, lobbies, stairways, locker rooms etc. Perform detail work, high... 

Heilpädagogische Hilfe Bersenbrück gGmbH

Pflegefachkraft - Neurologie-Reha, Flexible Schichten Job at Heilpädagogische Hilfe Bersenbrück gGmbH

Du bist Pflegefachkraft (m/w/d) suchst eine neue Herausforderung? Du mchtest dich endlich wieder in Ruhe deinen Patienten widmen? Du mchtest die Wertschtzung erfahren, die dir zusteht und Erfolge durch deine Pflege sehen? Die Reha-Aktiv Bersenbrck GmbH ist die Einrichtung...

Pyramid Consulting, Inc

NOC Analyst I Job at Pyramid Consulting, Inc

 ...Responsibilities: ~ Monitor, manage, and maintain all edge network devices, performance, and quality across the client network (e.g. telecommunications circuits, routers, switches, firewalls, VoIP systems, failover solutions, and platforms). ~ Perform Event Management and... 

Green Key Resources

Administrative Assistant Job at Green Key Resources

 ...International law firm is seeking an Administrative Assistant to support a high-level executive. Must have 3+ years of relevant experience including c-suite support. Law firm experience is required. Onsite Monday - Friday Hours: 9:30am - 5:30pm Salary range: 9...