Remote Registered Nurse Utilization Manager

Job ID: Available for Members

Location: Indiana, Kentucky

Compensation: To Be Discussed

Posted: Thursday, February 15, 2018

Job Category: Healthcare, Nursing

Telecommute Level: Majority

Travel Requirements: Field Travel Required, Some Travel

Employer Type: Employer

Career Level: Experienced

Education Level: Bachelors

Job Summary

An insurance company has an open position for a Remote Registered Nurse Utilization Manager.

Core Responsibilities Include:

  • Engaging members to support the appropriate level of care
  • Working closely with providers to assure members are being provided the highest quality of care
  • Reviewing proposed medical care cases for medical necessity against established CMS Coverage Guidelines

Qualifications for this position include:

  • Travel: Yes, 10 % of the Time
  • BSN or Bachelor's degree in a related field
  • Active RN license in the state in which the nurse practices
  • Minimum of 2 years prior clinical experience in an acute and/or post -acute setting
  • Proficient with computer skills particularly Excel, Word and PowerPoint
  • Possess ability to communicate well both telephonic and face to face