Remote Front End Review Utilization Management Nurse 2

Job ID: Available for Members

Location: Florida, Georgia, Kentucky, Maryland, North Carolina, Virginia

Compensation: To Be Discussed

Staff Reviewed: Thu, Feb 14, 2019

Job Category: Healthcare, Nursing, Quality Assurance

Telecommute Level: Majority

Travel Requirements: Possible Travel

Weekly Hours: Day Shift, Full Time

Employer Type: Employer

Career Level: Experienced

Education Level: Some College

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