Remote Medicare Utilization Management Registered Nurse

Job ID: Available for Members

Location: Florida

Compensation: To Be Discussed

Staff Reviewed: Thu, May 28, 2020

Job Category: Case Management, Healthcare, Nursing

Telecommute Level: 100% Telecommute

Travel Requirements: No Travel

Weekly Hours: Full Time

Employer Type: Employer

Career Level: Experienced

Education Level: Bachelors

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