Job Summary
A health insurance company is searching for a person to fill their position for a Remote RN Utilization Management Manager.
Core Responsibilities of this position include:
- Providing the best and most appropriate treatment, care or services for members
- Facilitating optimal care and treatment
- Conducting briefings and area meetings
Position Requirements Include:
- Bachelor's Degree OR 4+ years equivalent experience
- Licensed Registered Nurse in the state of Kentucky with no disciplinary action
- 2+ years of management/leadership, project lead or subject matter expert
- 2+ Progressive clinical experience preferably in an acute care, skilled or rehabilitation clinical setting
- 1+ year Utilization Management experience in an acute care, skilled or Rehabilitation clinical setting
- 6+ years Technical experience aptitude to troubleshoot and resolve system platform and connectivity problems
