Remote New York Licensed Utilization Management MLTC Registered Nurse

Location: Nationwide

Compensation: To Be Discussed

Staff Reviewed: Fri, Jun 11, 2021

This job expires in: 19 days

Job Category: Healthcare

Remote Level: 100% Remote

Employer Type: Employer

Career Level: Experienced

Education Level: Bachelors, Masters

Job Summary

A non-profit organization has an open position for a Remote New York Licensed Utilization Management MLTC Registered Nurse.

Core Responsibilities Include:

  • Verifying that all aspects of the clinical record are in agreement with the member's clinical and functional status
  • Conducting comprehensive review of all components related to requests for services
  • Actively identifying opportunities for alternative care options and contributes to the development of patient focused plan of care

Qualifications for this position include:

  • Minimum two years of utilization review experience with strong cost containment /case management background
  • Current license to practice as a Registered Professional Nurse in New York State required
  • Knowledge of Medicaid and/or Medicare regulations required
  • Excellent organizational and time management skills, interpersonal skills, verbal and written communication skills
  • Working knowledge of Microsoft Excel, Power-Point, and Word and strong typing skills required

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