Remote Senior Clinical Admin Nurse
Job Summary
Providing individualized support to UMR membership, the full-time Remote Senior Clinical Admin Nurse will assist members in navigating the health care system, manage adverse determinations, and offer educational resources while working Monday to Friday from 8:00 am to 5:00 pm.
Key responsibilities
- Provide members with tools and educational support to effectively manage their health concerns
- Assist members with the appeal process for adverse determinations and provide pre-admission and discharge planning counseling
- Track activities and maintain documentation for customer reporting and coordinate necessary medical care and community referrals
Required qualifications
- Current and unrestricted RN compact license
- 4+ years of acute nursing experience
- 2+ years of case management experience
- Previous med-surg, critical care, and/or ER experience
- Basic computer proficiency (e.g., MS Word, Outlook)
Complete Job Description
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