Remote Nurse Medical Management I and II

Location: East Coast

Compensation: To Be Discussed

Staff Reviewed: Tue, Jun 01, 2021

This job expires in: 19 days

Job Category: Healthcare

Remote Level: 100% Remote

Weekly Hours: Full Time

Employer Type: Employer

Career Level: Experienced

Job Summary

A healthcare company has a current position open for a Remote Nurse Medical Management I and II.

Core Responsibilities of this position include:

  • Servicing our Medicaid members in the eastern region
  • Promoting quality member outcomes
  • Conducting pre-certification, continued stay review and care coordination

Qualifications Include:

  • Ability to interpret and apply member contracts, member benefits, and managed care products
  • Requires a current, active, unrestricted RN license from the state in which you reside
  • 3 years of acute care clinical experience
  • Requires knowledge of the medical management process
  • 2 years of utilization review experience is required for Nurse Medical Mgmt II
  • Must be competent in Microsoft Word, Excel, and Outlook

COMPLETE JOB DESCRIPTION

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