Remote Clinical Review Utilization Management Registered Nurse

Job is Expired

Location: Nationwide

Compensation: To Be Discussed

Staff Reviewed: Tue, Nov 29, 2022

Job Category: Healthcare

Remote Level: 100% Remote

Weekly Hours: Full Time

Employment Status: Permanent

Employer Type: Employer

Career Level: Entry Level, Experienced

Education Level: Bachelors

Job Summary

A independent, not-for-profit health benefits organization needs applicants for an opening for a Remote Clinical Review Utilization Management Registered Nurse.

Candidates will be responsible for the following:

Assisting non-clinical staff in performance of administrative reviews
Initiating referrals to ensure appropriate coordination of care
Seeking the advice of the Medical Director when appropriate, according to policy

Skills and Requirements Include:

3 years - Clinical experience required
Registered Nurse (RN) with active license in the state of Tennessee or hold a license in the state of their residence
Proficient in Microsoft Office (Outlook, Word, Excel and PowerPoint)
Working knowledge of URAC, NCQA and CMS accreditations
Excellent oral and written communication skills
Strong interpersonal and organizational skills

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Job is Expired

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Remote Clinical Review Utilization Management Registered Nurse

Job Summary

COMPLETE JOB DESCRIPTION

Company Overview

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