Job Summary
A health insurance company needs applicants for an opening for a Remote Post Acute Utilization Management Registered Nurse 2.
Core Responsibilities of this position include:
- Interpreting criteria, policies, and procedures to provide the best and most appropriate treatment
- Coordinating and communicating with providers, members, or other parties
- Understanding department, segment, and organizational strategy and operating objectives
Applicants must meet the following qualifications:
- Licensed Registered Nurse in Florida with no disciplinary action or compact state license
- 3-5 years Acute, skilled and or Rehab experience
- 1 year utilization management
- Utilization review experience within a hospital, skilled nursing, health plan, or MSO/PCP office
- Comprehensive knowledge of Microsoft Word, Outlook and Excel
- Ability to provide a high speed DSL or cable modem for a home office