Remote Utilization Management Professional in Orlando

Job ID: Available for Members

Location: Florida

Compensation: To Be Discussed

Posted: Tuesday, April 17, 2018

Job Category: Healthcare

Telecommute Level: Majority

Travel Requirements: Possible Travel

Weekly Hours: Full Time

Employer Type: Employer

Career Level: Experienced

Education Level: Some College

Job Summary

A healthcare company is searching for a person to fill their position for a Remote Utilization Management Professional in Orlando.

Core Responsibilities Include:

  • Developing and managing new enrollee transitions
  • Reviewing planned, in process, or completed health care services
  • Providing information to enrollees, providers, and internal staff

Applicants must meet the following qualifications:

  • Must be flexible to work one or two weekends monthly
  • Associates: Nursing
  • Licensed Practical Nurse - Care Management
  • Registered Nurse, State and/or Compact State Licensure
  • 3 years experience post degree in a clinical, psychiatric and/or substance abuse health care setting
  • 3 years of experience conducting utilization management according to medical necessity criteria