RN Managed Care Coordinator I

Job Summary

A company is looking for a Managed Care Coordinator I.

Key Responsibilities:

• Perform medical or behavioral review/authorization process
• Develop and coordinate action plans for service needs
• Evaluate outcomes of plans, eligibility, and medical necessity regarding requested services

Required Qualifications:

• Associates in a job-related field
• Graduate of Accredited School of Nursing
• Two years of clinical experience
• Active, unrestricted RN licensure from the United States and in the state of hire, OR active compact multistate unrestricted RN license as defined by the Nurse Licensure Compact (NLC), OR active, unrestricted LMSW licensure from the United States and in the state of hire, OR active, unrestricted licensure as Counselor, OR Psychologist from the United States and in the state of hire