Telecommute Medical Management Nurse I

Job ID: Available for Members

Location: Nationwide

Compensation: To Be Discussed

Staff Reviewed: Thu, May 28, 2020

Job Category: Case Management, Healthcare, Nursing

Telecommute Level: Majority

Travel Requirements: Onsite Required, Some Travel

Weekly Hours: Day Shift

Employer Type: Employer

Career Level: Experienced

Education Level: Some College

Job Summary

A health insurance company has a current position open for a Telecommute Medical Management Nurse I.

Candidates will be responsible for the following:

  • Ensuring member access to medical necessary, quality healthcare in a cost effective setting
  • Consulting with clinical reviewers and/or medical directors
  • Ensuring medically appropriate, high quality, cost effective care

Qualifications for this position include:

  • Must live within commutable distance for occasional meetings, trainings, etc
  • Current active unrestricted RN license to practice as a health professional
  • 2 years acute care clinical experience
  • 2-3 years of Utilization Management experience
  • Strong oral, written and interpersonal communication skills
  • Problem-solving skills, facilitation skills, and analytical skills