Remote Utilization Management Nurse

Location: Idaho, Oregon, Utah, Washington

Compensation: To Be Discussed

Staff Reviewed: Mon, Oct 11, 2021

This job expires in: 15 days

Job Category: Healthcare

Remote Level: 100% Remote

Weekly Hours: Full Time

Employer Type: Employer

Career Level: Experienced

Job Summary

A nonprofit healthcare company needs applicants for an opening for a Remote Utilization Management Nurse.

Candidates will be responsible for the following:

  • Reviewing utilization management conducted prior to a patient’s admission, stay, or other service or course of treatment
  • Reviewing conducted after services (including outpatient procedures and services) have been provided to the patient
  • Applying clinical expertise & judgment to ensure compliance with medical policy, medical necessity guidelines & standards of care

Qualifications Include:

  • Knowledge of health insurance industry trends, technology & contractual arrangements
  • Familiarity with health care documentation systems
  • General computer skills (including use of Microsoft Office, Outlook, internet search)
  • Ability to interpret policies and procedures and communicate complex topics effectively

COMPLETE JOB DESCRIPTION

The job description is available to subscribers. Subscribe today to get the full benefits of a premium membership with Virtual Vocations. We offer the largest remote database online...

BECOME A PREMIUM MEMBER TO UNLOCK FULL JOB DETAILS & APPLY

  • ACCESS TO FULL JOB DETAILS AND APPLICATION INFORMATION
  • HUMAN-SCREENED REMOTE JOBS AND EMPLOYERS
  • COURSES, GROUP CAREER COACHING AND RESOURCE DOWNLOADS
  • DISCOUNTED CAREER SERVICES, RESUME WRITING, 1:1 COACHING AND MORE
  • EXCELLENT CUSTOMER SUPPORT FOR YOUR JOB SEARCH