Job Summary
A senior healthcare company is filling a position for a Remote Clinical Nurse Specialist.
Core Responsibilities of this position include:
- Developing UM policies, including annual review and update
- Researching and developing position statements for new and evolving technologies
- Consulting and performing claims review, including provider dispute resolution and high cost claim review
Position Requirements Include:
- Registered Nurse with unrestricted license
- Minimum 4 years experience as RN
- 3 years of experience doing utilization management at a health plan
- Provider clinical experience
- Proven leadership, agility, and collaboration skills
- Ability to work in a startup, fast paced environment