Job Summary
A recruiting firm is searching for a person to fill their position for a Remote Lead Utilization Management Registered Nurse in the Miami Area.
Candidates will be responsible for the following:
- Reviewing health care services
- Assisting with program processes for transition
- Providing information to enrollees, providers, and internal staff
Skills and Requirements Include:
- 5+ years experience conducting utilization management
- Registered Nurse, FL Licensure
- Knowledge of ICD and DSM IV coding or most current edition
- Knowledge of Medicaid benefits, community resources, etc
- Knowledge and experience in diverse patient care settings