Remote Utilization Management Registered Nurse in Monterey

Job is Expired

Location: California

Compensation: To Be Discussed

Staff Reviewed: Mon, Mar 01, 2021

Job Category: Healthcare

Remote Level: 100% Remote

Employer Type: Employer

Career Level: Experienced

Job Summary

A healthcare company has a current position open for a Remote Utilization Management Registered Nurse in Monterey.

Individual must be able to fulfill the following responsibilities:

  • Conducting initial review of prior authorization or pre certification requests
  • Making determinations based on medical necessity of plan-covered services
  • Participating in and supporting all medical management initiatives

Qualifications for this position include:

  • Active unrestricted RN license required in state of residence
  • 3-5 years’ experience in managed care with Medicare Advantage and Commercial populations
  • Adaptability and openness to alternative solutions and flexibility when interacting with others
  • Utilization Management experience
  • Pre-authorization and concurrent review experience
  • Proficient in the use of Microsoft Office Suite

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