Job Summary

A staffing company is seeking a Telecommute Lead Utilization Management Registered Nurse in Miami.

Core Responsibilities Include:

• Synthesizing clinical information
• Reviewing health care services
• Analyzing utilization information

Skills and Requirements Include:

• Registered Nurse, FL Licensure
• 5 years experience conducting utilization management according to medical necessity criteria
• Knowledge of medical utilization management procedures
• Knowledge of Medicaid benefits, community resources and providers
• Knowledge and experience in diverse patient care settings including inpatient care
• Knowledge of ICD and DSM IV coding or most current edition