Arizona Licensed RN Medical Management

Job Summary

A company is looking for an RN Medical Management Services.

Key Responsibilities

• Manage health plan consumer/beneficiaries across the healthcare continuum to achieve optimal outcomes
• Provide pre-service determinations, concurrent review, and case management functions within Medical Management
• Collaborate with internal and external customers on issues related to prior authorization and utilization management

Required Qualifications

• Registered Nurse (R.N.) licensure in the state of practice
• Bachelor's degree or equivalent experience
• Five years of clinical experience
• Working knowledge of care management and resource/utilization management
• Ability to work flexible hours and take rotating call after hours