Job Summary
A non-profit healthcare company has a current position open for a Remote Regence Utilization Management Nurse.
Must be able to:
- Provide utilization management to best meet the member’s healthcare needs
- Promote quality and cost-effective outcomes
- Promote appropriate payment for services
Must meet the following requirements for consideration:
- Associate or Bachelor’s Degree in Nursing or related field
- 3 years of case/utilization/disease management, auditing or retrospective review
- Equivalent combination of education and experience can substitute
- Unrestricted RN license within WA, OR, UT, or ID
- 3 years (or full time equivalent) of direct clinical care