Telecommute Lead Utilization Management Registered Nurse in Miami

Job is Expired
Location: Florida
Compensation: To Be Discussed
Staff Reviewed: Fri, Nov 15, 2019

Job Summary

A healthcare company is filling a position for a Telecommute Lead Utilization Management Registered Nurse in Miami.

Core Responsibilities Include:

  • Providing point of need support and coaching to UM professionals
  • Mentoring and training UM staff
  • Researching and resolving escalated issues

Required Skills:

  • 5 years of experience conducting utilization management according to medical necessity criteria
  • Registered Nurse, Florida Licensure
  • Knowledge of medical utilization management procedures, Medicaid benefits, etc.
  • Ability to function independently and as a team member
  • Knowledge of ICD and DSM IV coding or most current edition
  • Ability to analyze specific utilization problems and creatively plan and implement solutions

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