Job Summary
A health insurance company is filling a position for a Remote Medicare Utilization Management Registered Nurse.
Core Responsibilities Include:
- Coordinates and communicates with providers, members, or other parties to facilitate optimal care
- Interprets criteria, policies, and procedures
Qualifications for this position include:
- Previous experience in utilization management or case management
- Prior clinical experience preferably in an acute care, skilled or rehabilitation clinical setting
- Licensed Registered Nurse (RN) in the state of Florida with no disciplinary action
- Must have the ability to provide a high speed DSL or cable modem for a home office
- BSN or Bachelor's degree in a related field
