Job Summary
A healthcare company is searching for a person to fill their position for a Remote Nurse Medical Manager I.
Individual must be able to fulfill the following responsibilities:
- Conduct pre-certification, continued stay review, care coordination, or discharge planning for appropriateness of treatment setting reviews
- Ensurs member access to medical necessary, quality healthcare in a cost effective setting according to contract
- Consult with clinical reviewers and/or medical directors to ensure medically appropriate, high quality, cost effective care
Position Requirements Include:
- Current active unrestricted RN license to practice as a health professional within the scope of practice in applicable state
- 2 years acute care clinical experience
- Strong oral, written and interpersonal communication skills, problem-solving skills, facilitation skills, and analytical skills