Remote Nurse Medical Manager I or II

Location: Nationwide

Compensation: To Be Discussed

Staff Reviewed: Wed, Oct 14, 2020

This job expires in 23 days

Remote Level: 100% Remote

Weekly Hours: Full Time

Employer Type: Employer

Career Level: Experienced

Job Summary

A health insurance company is in need of a Remote Nurse Medical Manager I or II.

Candidates will be responsible for the following:

  • Ensuring medically appropriate, high quality, cost effective care
  • Applying clinical knowledge to ensure medical necessity of billed service
  • Ensuring member benefits are correctly applied to claims payment

Skills and Requirements Include:

  • 2 years clinical RN experience
  • Experience working with Microsoft Office (Outlook, Excel, and Word)
  • Experience using electronic documentation and using multiple computer screens
  • Requires strong oral, written and interpersonal communication skills, problem-solving skills, facilitation skills, and analytical skills
  • Medicare, Medicaid &/or Medicare Supplement review experience required