Clinical Intake Coordinator RN

RN Clinical Intake Coordinator is responsible for supporting the clinical Utilization Management activities for members. Duties include: Performing review of requested outpatient & elective, prospective inpatient medical services; Assisting in authorization & processing of automatic referral requests; Utilizing clinical guidelines as well as Medi-Cal criteria to review DME, home care, & outpatient service requests for medical necessity & benefit coverage while processing referral request; Identifying & referring cases appropriate for various internal programs; Sharing information as necessary with appropriate Population Health Management team (Case Management, Transitions of Care, Major Organ Transplant & Community Support Services including but not limited to Extended Care Management). Required qualifications: Registered Nurse (RN) with active, current, unrestricted CA license; Min. 2 yrs full-time clinical exp. in acute care, community health setting, public health nursing, or chronic disease management. Bilingual preferred. 1st shift. Wage: $51.00 hr. (#6.0108.309 – Bakersfield)