Remote Utilization Management Nurse

Job is Expired

Location: Alabama, Arkansas, Florida, Georgia, Illinois, Indiana, Iowa, Kansas, Louisiana, Michigan, Minnesota, Mississippi, Missouri, Nebraska, Ohio, Pennsylvania, South Carolina, Tennessee, Texas, Virginia, West Virginia

Compensation: To Be Discussed

Staff Reviewed: Thu, Sep 16, 2021

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 health insurance company is seeking a Remote Utilization Management Nurse .

Core Responsibilities of this position include:

  • Interpreting criteria, policies, and procedures to provide the best and most appropriate treatment, care or services for members
  • Understanding department, segment, and organizational strategy and operating objectives, including their linkages to related areas
  • Making decisions regarding own work methods, occasionally in ambiguous situations, and requires minimal direction and receives guidance where needed

Required Skills:

  • Bachelor's or an Associate's degree
  • 3 - 5 years of Medical Surgery, Heart, Lung or Critical Care Nursing experience
  • Licensed Registered Nurse (RN) in the (appropriate state) with no disciplinary action

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