Job Summary
A healthcare company is seeking a Remote Utilization Management PreService Nurse.
Core Responsibilities of this position include:
- Acting as a member advocate by expediting the care process through the continuum
- Screening and coordination of cases within the utilization management department
- Escalating all potential quality issues and grievances
Skills and Requirements Include:
- 3 or more years of utilization management and quality improvement experience required
- Working knowledge and understanding of basic utilization management concepts required
- Must possess strong organizational and prioritization skills
- Active Licensed Practical Nurse license to practice as a health professional in a state or territory of the US
- Experience in using the Microsoft Office Suite including Excel and Word
