Remote Medicaid Behavioral Health Utilization Management Compliance Nurse

Location: Kentucky

Compensation: To Be Discussed

Staff Reviewed: Fri, Feb 12, 2021

This job expires in: 17 days

Job Category: Healthcare

Remote Level: 100% Remote

Weekly Hours: Full Time

Employer Type: Employer

Career Level: Experienced

Education Level: Bachelors

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

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