Job Summary
A health insurance company has a current position open for a Remote Medicaid Behavioral Health Utilization Management Compliance Nurse.
Core Responsibilities Include:
- Collect and analyze data daily, weekly, monthly or as needed to assess outcome and operational metrics
- Understand department, segment, and organizational strategy and operating objectives
- Make decisions regarding own work methods, occasionally in ambiguous situations, and requires minimal direction
Skills and Requirements Include:
- Bachelor's degree or equivalent experience
- Active Unrestricted RN license in the state(s) in which the nurse is required to practice
- Ability to be licensed in multiple states without restrictions
- A minimum of three years psychiatric/behavioral health nursing experience
- A minimum of three years in Utilization Management (Managed Care or Provider)
- Proficient with Microsoft Office products including Word, Excel and Outlook
