Telecommute Nurse Medical Manager II

This job has been removed

Location: Indiana

Compensation: To Be Discussed

Staff Reviewed: Mon, Jul 12, 2021

This job expires in: 16 days

Job Category: Healthcare

Remote Level: 100% Remote

Weekly Hours: Full Time

Employer Type: Employer

Career Level: Experienced, Management, Senior Level

Job Summary

A health insurance company needs applicants for an opening for a Telecommute Nurse Medical Manager II.

Core Responsibilities of this position include:

  • Conducting precertification, continued stay review, care coordination, or discharge planning
  • Ensuring member access to medical necessary, quality healthcare in a cost effective setting according to contract
  • Facilitating member care transition through the healthcare continuum

Qualifications Include:

  • Requires current active unrestricted RN license to practice as a health professional
  • 3-5 years acute care clinical experience or case management, utilization management or managed care experience
  • Must have knowledge of medical management process and ability to interpret and apply member contracts, member benefits, and managed care products
  • Requires strong oral, written and interpersonal communication skills, problem-solving skills, facilitation skills, and analytical skills

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