Job Summary
A health insurance company is in need of a Telecommute MCD UM Nurse Consultant.
Core Responsibilities of this position include:
- Gathering clinical information and applying the appropriate medical necessity criteria/guideline
- Consulting and lending expertise to other internal and external constituents
- Coordinating/Communicating with providers and other parties to facilitate optimal care/treatment
Position Requirements Include:
- Travel up to 10%
- Bachelor's degree or equivalent experience
- 3-5 years clinical practice experience
- Experience and knowledge required in clinical guidelines, systems/tools