Remote Medical Management Registered Nurse I or II in Cartersville

Job is Expired

Location: Georgia

Compensation: To Be Discussed

Staff Reviewed: Fri, Sep 17, 2021

Job Category: Healthcare

Remote Level: 100% Remote

Weekly Hours: Full Time

Employer Type: Employer

Career Level: Experienced

Job Summary

A health insurance company has an open position for a Remote Medical Management Registered Nurse I or II in Cartersville.

Must be able to:

  • Conduct precertification, continued stay review, care coordination, or discharge planning
  • Ensure medically appropriate, high quality, cost effective care
  • Collaborate with providers to assess member’s needs

Must meet the following requirements for consideration:

  • Requires current active unrestricted RN license to practice as a health professional
  • 3-5 years acute care clinical experience or case or utilization management or managed care experience
  • Ability to interpret and apply member contracts, member benefits, and managed care products
  • Must have knowledge of medical management process

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