Job Summary
A healthcare and retail pharmacy company is searching for a person to fill their position for a Remote Licensed Concurrent Review Utilization Management Registered Nurse.
Must be able to:
- Coordinate and communicate all aspects of the utilization/benefit management program
- Evaluate and facilitate appropriate healthcare services/benefits for members
- Gather clinical information and apply the appropriate medical necessity criteria/guideline
Skills and Requirements Include:
- Registered Nurse (RN) with unrestricted state license
- 3 years clinical practice experience
- Experience with hospital setting acute care or alternative care setting
- Proficiency with computer skills which includes navigating multiple systems and keyboarding
