Job Summary

A health insurance company is seeking a Remote Front End Review RN.

Individual must be able to fulfill the following responsibilities:

• Utilize clinical nursing skills to support the coordination, documentation and communication of medical services
• Work assignments are varied and frequently require interpretation and independent determination
• Interpret criteria, policies, and procedures to provide the best and most appropriate treatment, care or services for members

Skills and Requirements Include:

• Active RN license without restrictions
• Previous experience in utilization management
• Prior clinical experience in an acute care, skilled or rehabilitation clinical setting
• Excellent computer skills and ability to easily navigate multiple applications
• Ability to work independently under general instructions and with a team
• Must have the ability to provide a high speed DSL or cable modem for a home office