Job Summary
A staffing company is searching for a person to fill their position for a Remote Utilization Management Registered Nurse in Tampa.
Candidates will be responsible for the following:
- Participating in UM program CQI activities
- Conducting Utilization reviews
- Performing telephonic review for inpatient and outpatient services
Position Requirements Include:
- May be asked to physically attend meetings/trainings in Tampa Florida
- Have a reliable high-speed internet service at home
- 1 year of experience in a Managed care organization (MCO) or Third part administrator
- ASN/BSN required
- Must become knowledgeable of URAC requirements for clinical staff for UM accreditation
- Must be willing to apply for any state licensure that the organization requests