Job is Expired
Location: Arizona, Connecticut, Florida, Georgia, Illinois, Maryland, Massachusetts, Michigan, New Jersey, New Mexico, New York, North Carolina, Ohio, Oregon, Pennsylvania, Rhode Island, Tennessee, Texas, Utah, Virginia, Washington
Compensation: To Be Discussed
Staff Reviewed: Fri, Jul 22, 2022
Job Summary
An insurance company has an open position for a Remote Medicare Advantage Utilization Review Nurse.
Core Responsibilities of this position include:
- Collecting relevant medical information and applying the appropriate evidence-based guidelines
- Meeting required decision-making timeframes
- Following documentation guidelines for clear and concise decision-making
Qualifications Include:
- Active, unrestricted RN license
- Willingness to obtain additional state licenses as needed for growth
- 3+ years utilization review experience at a managed care plan or provider organization
- 5+ years clinical experience
- 2 years clinical practice in an acute care setting
