Remote Utilization Management Nurse

Location: Nationwide

Compensation: Salary

Staff Reviewed: Fri, Feb 12, 2021

This job expires in: 14 days

Job Category: Healthcare

Remote Level: 100% Remote

Weekly Hours: Full Time

Employer Type: Employer

Career Level: Experienced

Education Level: Some College, Bachelors

Job Summary

A healthcare company has a current position open for a Remote Utilization Management Nurse.

Core Responsibilities of this position include:

  • Reviewing conducted after services have been provided to the patient
  • Applying clinical expertise and judgment to ensure compliance with medical policy
  • Consulting with physician advisors to ensure clinically appropriate determinations

Applicants must meet the following qualifications:

  • Knowledge of health insurance industry trends, technology and contractual arrangements
  • General computer skills
  • Strong verbal, written and interpersonal communication and customer service skills
  • Ability to interpret policies and procedures and communicate complex topics effectively
  • Strong organizational and time management skills with the ability to manage workload independently
  • Ability to think critically and make decisions within individual role and responsibility

COMPLETE JOB DESCRIPTION

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