Remote Utilization Review Registered Nurse

Location: Florida, Georgia, North Carolina, South Carolina, Virginia

Compensation: To Be Discussed

Staff Reviewed: Fri, Jan 08, 2021

This job expires in: 19 days

Job Category: Healthcare

Remote Level: 100% Remote

Weekly Hours: Full Time

Employer Type: Employer

Career Level: Experienced

Education Level: Bachelors

Job Summary

A health insurance company is seeking a Remote Utilization Review Registered Nurse.

Must be able to:

  • Coordinate and communicate with providers, members, or other parties to facilitate optimal care and treatment
  • Coordinate and communicate with providers, members, or other parties to facilitate appropriate discharge planning including to assist with social determinants and closing gaps
  • Understand department, segment, and organizational strategy and operating objectives, including their linkages to related areas

Must meet the following requirements for consideration:

  • Licensed Registered Nurse (RN) in the state of Florida or compact license with no disciplinary action.
  • 3 - 5 years of clinical experience in acute care setting
  • Previous experience in utilization management
  • Comprehensive knowledge of Microsoft Word, Outlook and Excel
  • 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

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