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