Job Summary
A health insurance company is in need of a Remote Nurse Medical Manager I.
Must be able to:
- Conduct pre-certification reviews
- Ensure member access to medical necessary, quality healthcare
- Facilitate member care transition through the healthcare continuum
Applicants must meet the following qualifications:
- Abilty to go onsite if necessary for IT or other needs
- AS/BS in nursing
- 2 years of acute care clinical experience
- Current active unrestricted RN license to practice as a health professional
- 2 years acute care clinical experience
- Must have current or previous utilization management experience