Job Summary
A health insurance company is seeking a Remote Utilization Management Nursing RN Manager.
Must be able to:
- Develop, Implement and maintain all activities and processes necessary to maintain compliance
- Work collaboratively with leadership to achieve and maintain compliance
- Collect and analyze data daily, weekly, monthly or as needed to assess outcome and operational metrics for the team and individuals
Must meet the following requirements for consideration:
- 2 or more years of managed care experience preferably utilization management
- Licensed Registered Nurse (RN) in the (appropriate state) with no disciplinary action
- Progressive clinical experience preferably in an acute care, skilled or rehabilitation clinical setting
- Ability to work independently under general instructions and with a team
- Must be passionate about contributing to an organization focused on continuously improving consumer experiences
