Job is Expired
Location: California, Georgia, New York, Ohio, Virginia
Compensation: To Be Discussed
Staff Reviewed: Thu, Apr 15, 2021
Job Summary
A health insurance company is in need of a Remote Medical Management Nurse I or II.
Must be able to:
- Ensure medically appropriate, high quality, cost effective care
- Facilitate member care transition through the healthcare continuum
- Refer treatment plans/plan of care to clinical reviewers
Qualifications for this position include:
- Requires current active unrestricted RN license to practice as a health professional
- 2-5 years acute care clinical experience or related experience
- Knowledge of medical management process
- Ability to interpret and apply member contracts