Job Summary
A health insurance company needs applicants for an opening for a Remote Medical Management Registered Nurse II in Baltimore.
Core Responsibilities Include:
- Conducting precertification, continued stay review, care coordination, or discharge planning
- Collaborating with providers to assess member’s needs
- Ensuring medically appropriate, high quality, cost effective care
Must meet the following requirements for consideration:
- Requires current active unrestricted RN license to practice as a health professional
- 3 years acute care clinical experience or case management, utilization management or equivalent
- Ability to facilitate accreditation