Remote Medical Review RN Nurse in Jacksonville

Job ID: Available for Members

Location: Florida

Compensation: To Be Discussed

Staff Reviewed: Wed, Dec 12, 2018

Job Category: Case Management, Healthcare, Nursing

Telecommute Level: Occasionally

Travel Requirements: Field Travel Required, Some Travel

Weekly Hours: Full Time

Employment Status: Permanent

Employer Type: Employer

Career Level: Experienced

Education Level: Some College

Additional Information: Benefits Available

Job Summary

A healthcare insurance company is searching for a person to fill their position for a Remote Medical Review RN Nurse in Jacksonville.

Individual must be able to fulfill the following responsibilities:

  • Conduct on-site review of subscriber's medical information in order to ensure appropriate benefit administration
  • Consult with providers, facilities' staff, subscribers and their families to ensure cost efficiencies in the delivery of care
  • Coordinate with internal and external sources in the on-going management of subscriber's care

Required Skills:

  • AZDL - Driver Licence - Valid And In State Florida license
  • RN - Registered Nurse - State Licensure And/Or Compact State Licensure Florida license
  • 1 year utilization management experience
  • ICD-9 Coding
  • Excellent planning, organizational skills
  • All other requirements necessary for this position