Remote Medical Management Nurse II

Job is Expired
Location: Nationwide
Compensation: Hourly
Staff Reviewed: Tue, Aug 09, 2022

Job Summary

A healthcare company has a current position open for a Remote Medical Management Nurse II.

Individual must be able to fulfill the following responsibilities:

  • Facilitate member care transition through the healthcare continuum
  • Interprete appropriateness of care and accurate claims payment
  • Conduct precertification, continued stay review, care coordination, or discharge planning

Qualifications Include:

  • Requires current active unrestricted RN license to practice as a health professional in applicable state(s)
  • 3 years acute care clinical experience or case management, utilization management or managed care
  • Knowledge of medical management process
  • ability to interpret and apply member contracts, member benefits, and managed care products strongly
  • ICU, CCU or Unit experience

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