Remote Medical Management Nurse II

Job ID: Available for Members

Location: Nationwide

Compensation: To Be Discussed

Staff Reviewed: Tue, Feb 26, 2019

This job expires in 2 days

Job Category: Case Management, Healthcare, Nursing

Telecommute Level: Majority

Travel Requirements: Possible Travel

Weekly Hours: Full Time

Employer Type: Employer

Career Level: Experienced

Education Level: Some College

Job Summary

A healthcare provider needs applicants for an opening for a Remote Medical Management Nurse II.

Core Responsibilities of this position include:

  • Continuing stay review, care coordination, and discharge planning for appropriateness of treatment setting reviews
  • Conducting precertification, continuing stay review, care coordination, or discharge planning for appropriateness of treatment
  • Consulting with clinical reviewers and/or medical directors to ensure medically appropriate, high quality, cost effective care

Required Skills:

  • Have a current, active, unrestricted RN license in Colorado and Nevada, and 3+ years acute care clinical experience
  • Knowledge of medical management process and ability to interpret and apply member contracts
  • Have strong oral, written and interpersonal communication, problem-solving, facilitation, and analytical skills
  • Exhibit leadership skills
  • Computer skills: MS Office (Word, Outlook, Excel)