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Posted: Wednesday, March 7, 2018 4:34 AM

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Graduates Encouraged to Apply Excellent Compensation and Benefits Package National Award Winning OrganizationJob DescriptionClinical Utilization and Care Management Nurses bridge the gap between administrative needs, data driven imperatives and the clinically relevant needs of their members.Nurses must emphasize these issues (access, quality, safety, statutory medical necessity, and attention to chronic disease) with alacrity and special attention to vulnerable populations while using clinical knowledge and judgment to align resources with member needs.This position effectively coordinates patient care/unit activities among nursing peers, and physiciansSkills/Knowledge Able to navigate through internal and external computer systems including Microsoft Word and Excel, and have proficient PC keyboarding skills Practice strong assessment and critical thinking skills and are able to multi-task in todays demanding nursing industry Possess excellent interpersonal skills and are able to work cohesively with the entire Nursing / Administrative team Familiar with ICD-9/10 and CPT coding desirable Knowledge of QNXT system desirableExperience Prior work experience in a similar role in care and or utilization management preferredEducation/Certification/Licensure New graduates are encouraged to apply Diploma or Associate Degree in Nursing; Bachelors Degree in Nursing or related field from an accredited college or university preferred Unrestricted, valid, and active RN License for the State of Hawaii Utilization Review or Care management certification, desirable Other related specialized certification, desirable Nursing Diploma or Associate degree in nursing from an accredited nursing program, college or university; Bachelors Degree in Nursing or related field from an accredited college or university preferred Must have a valid drivers license and proof of automobile insurance in accordance with our clients required minimums

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