Telecommute Nurse Medical Management Lead

This job has been removed

Location: New Hampshire

Compensation: To Be Discussed

Staff Reviewed: Fri, Apr 23, 2021

This job expires in: 14 days

Job Category: Healthcare

Remote Level: 100% Remote

Weekly Hours: Full Time

Employer Type: Employer

Career Level: Experienced

Job Summary

A healthcare company is in need of 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 medical necessary, quality healthcare
  • Facilitating member care transition through the healthcare continuum and refers treatment plans

Qualifications for this position include:

  • Ability to interpret and apply member contracts, member benefits, and managed care products
  • Requires current active unrestricted RN license to practice as a health professional
  • 5 or more years acute care clinical experience or case management, UM or managed care experience
  • Must have knowledge of medical management process
  • Must exhibit leadership skills
  • Prior managed care experience required

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