Job Summary
A health insurance company is searching for a person to fill their position for a Telecommute Nurse Medical Management Lead.
Core Responsibilities of this position include:
- Performing continued stay review, care coordination, and discharge planning
- Ensuring member access to medically necessary quality healthcare
- Facilitating member care transition through the healthcare continuum
Position Requirements Include:
- Requires current active unrestricted RN license to practice as a health professional
- Must have knowledge of medical management process
- Prior managed care experience required
- Requires strong oral, written and interpersonal communication skills, problem-solving skills, facilitation skills, and analytical skills