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1–2 jobs· newest first

Registered Nurse/Case ManagerNew
IMCS Group Inc · Irvine, US
Registered Nurse/Case ManagerNew
IMCS Group Inc · Irvine, US

+10K new in the last hour

I

Registered Nurse/Case Manager

IMCS Group Inc · Posted Nov 10, 2026

Irvine, California, United States
5+ years

Apply with RefersoAI Apply on careers page

Requirements

Bachelor of Science in Nursing (BSN)
Basic Life Support (BLS)
State Nursing License

Skills

Acute Hospital Long Term Acute Care Rehabilitation Skilled Nursing Admission Criteria Care Coordination Discharge Planning Utilize InterQual Criteria Utilize Milliman Guidelines UR Admission Criteria UR Appeals and Denials UR Concurrent Review UR Continued Stay Reviews UR Medical Necessity UR Retrospective Review CMS: Centers for Medicare and Medicaid Services CPT (Current Procedural Terminology) coding and billing Department of Health DRG (Diagnosis Related Groups)HEDIS (The Healthcare Effectiveness Data and Information Set) Measures HIPAA guidelines ICD 10 Coding NCQA (National Committee for Quality Assurance)OSHA The Joint Commission/Core Measure/National Safety Goals Epic InterQual Milliman Guidelines CMS CPT DRG HEDIS HIPAA ICD 10 NCQA Joint Commission

Case Manager and Utilization Review RN for Cancer Specialty Hospital. 5 years' experience required. Must have acute hospital experience. Epic & InterQual documentation; SBAR communication. Weekends required. Certifications REQUIRED: BLS; BSN; State License Skills/Experience REQUIRED: Acute Hospital; Long Term Acute Care/Rehab/Skilled Nursing; Admission Criteria; Care Coordination; Discharge Planning; Utilize InterQual Criteria; Utilize Milliman Guidelines; UR Admission Criteria; UR Appeals and Denials; UR Concurrent Review; UR Continued Stay Reviews; UR Medical Necessity; UR Retrospective Review; UR Utilize InterQual Criteria; UR Utilize Milliman Guidelines; CMS: Centers for Medicare and Medicaid Services; CPT (Current Procedural Terminology) coding and billing; Department of Health; DRG (Diagnosis Related Groups); HEDIS (The Healthcare Effectiveness Data and Information Set) Measures; HIPAA guidelines (Health Insurance Portability and Accountability Act); ICD 10 Coding; NCQA (National Committee for Quality Assurance); OSHA; The Joint Commission/ Core Measure/National Safety Goals Workers Compensation

See full job description

I

Registered Nurse/Case Manager

IMCS Group Inc · Posted Nov 10, 2026

Irvine, California, United States
5+ years

Apply with RefersoAI Apply on careers page

Requirements

BSN
BLS
State License

Skills

Acute Hospital Long Term Acute Care Rehab Skilled Nursing Admission Criteria Care Coordination Discharge Planning Utilize InterQual Criteria Utilize Milliman Guidelines UR Admission Criteria UR Appeals and Denials UR Concurrent Review UR Continued Stay Reviews

UR Medical Necessity

UR Retrospective Review

CPT coding and billing

HIPAA guidelines

The Joint Commission

Joint Commission

Case Manager and Utilization Review RN for Cancer Specialty Hospital. 5 years' experience required. Must have acute hospital experience. Epic & InterQual documentation; SBAR communication. Weekends required. Certifications REQUIRED: BLS; BSN; State License Skills/Experience REQUIRED: Acute Hospital; Long Term Acute Care/Rehab/Skilled Nursing; Admission Criteria; Care Coordination; Discharge Planning; Utilize InterQual Criteria; Utilize Milliman Guidelines; UR Admission Criteria; UR Appeals and Denials; UR Concurrent Review; UR Continued Stay Reviews; UR Medical Necessity; UR Retrospective Review; UR Utilize InterQual Criteria; UR Utilize Milliman Guidelines; CMS: Centers for Medicare and Medicaid Services; CPT (Current Procedural Terminology) coding and billing; Department of Health; DRG (Diagnosis Related Groups); HEDIS (The Healthcare Effectiveness Data and Information Set) Measures; HIPAA guidelines (Health Insurance Portability and Accountability Act); ICD 10 Coding; NCQA (National Committee for Quality Assurance); OSHA; The Joint Commission/ Core Measure/National Safety Goals Workers Compensation

See full job description