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
