Remote Licensed RN Utilization Management II Professional in Woodland Hills

Job is Expired

Location: California

Compensation: To Be Discussed

Staff Reviewed: Sun, Jun 06, 2021

Job Category: Healthcare

Remote Level: 100% Remote

Weekly Hours: Full Time

Employer Type: Employer

Career Level: Experienced

Job Summary

A health insurance company is searching for a person to fill their position for a Remote Licensed RN Utilization Management II Professional in Woodland Hills.

Must be able to:

  • Conduct precertification, continued stay review, care coordination, or discharge planning for appropriateness of treatment setting reviews
  • Consult with clinical reviewers and/or medical directors to ensure medically appropriate, high quality, cost effective care
  • Collaborate with providers to assess member’s needs for early identification of and proactive planning for discharge planning

Qualifications Include:

  • Having an unrestricted RN license to practice as a health professional in California
  • Having 3-5 recent years of acute care clinical experience or case management, utilization management or managed care experience
  • Having knowledge of medical management process and ability to interpret and apply member contracts, member benefits, and managed care products
  • Having strong oral, written and interpersonal communication skills
  • Having strong problem-solving skills, facilitation skills, and analytical skills

COMPLETE JOB DESCRIPTION

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