Job Summary

A diversified health care company that serves the markets for health benefits and services worldwide is filling a position for a Telecommute Utilization Management Nurse.

Core Responsibilities Include:

• Perform utilization management, utilization review, or concurrent review
• Determine medical appropriateness of inpatient and outpatient services following evaluation of medical guidelines and benefit determination
• Assess and interpret customer needs and requirements

Required Skills:

• Unrestricted RN license required in state of residence
• Three or more years of Managed Care or Clinical experience
• Ability to create, edit, save and send documents utilizing Microsoft Word
• Ability to navigate a Windows environment