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Utilization Management - 29233-1

Rancho Cordova, California 95670 | Contract

Job ID: 56105 Position: Healthcare Branch: Rancho Cordova



Working with complex cases promotes the delivery of quality; cost- effective health care services based on medical necessity and contractual benefits. Works with other members of HCS team, provider, hospitals, members and their families to plan and review medical necessity, intensity of services, level of care, length of stay and general appropriateness of care.  
  • Manage cases for UM
  • Review for medical necessity for members requesting medical treatment
  • Communicate to providers, colleagues and MD' s utilizing phone and PC systems 
  • Support to senior/ lead CMs as needed

  • 3 years of acute care experience 
  • Current active unrestricted CA RN license 
  • Bachelors of Science in Nursing or advanced degree
  • Software Skills: Word and Excel 

Job Type: Contract Full-Time 

Salary: $40.00 - $45.00/ hour 


Alana Klingman

Alana is a native Huntington Beach resident making the move to Sacramento just a few years ago. She comes with over 15 years of experience in full cycle healthcare recruiting and thoroughly enjoys every aspect of her job. Receiving a new client order and placing a qualified applicant is truly an excitement each and every time. Her goal at the end of every day is to leave a positive impression with everyone she works with including letting the candidates know that she is on their side. She strives to fill every client need that comes across her desk with a candidate that can call that place of business HOME. When she is not hard at work Recruiting, Alana spends her free time attending local family events, trying new eateries and perfecting DIY home projects she found on Pinterest.

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