Job is Expired
Location: Alabama, Arizona, Arkansas, Colorado, Florida, Georgia, Indiana, Iowa, Kansas, Louisiana, Maine, Maryland, Massachusetts, Michigan, Missouri, Nevada, New Hampshire, New Mexico, New York, North Carolina, Ohio, Oklahoma, Oregon, South Carolina, Tennessee, Texas, Utah, Washington, West Virginia, Wisconsin
Compensation: To Be Discussed
Staff Reviewed: Wed, Mar 07, 2018
Job Summary
A healthcare company needs applicants for an opening for a Telecommute Outpatient Utilization Management Nurse Consultant.
Core Responsibilities Include:
- Gathers clinical information and applies the appropriate clinical criteria/guideline, policy, procedure and clinical judgment to render coverage determination/recommendation
- Identifies members for referral opportunities to integrate with other products, services and/or programs
- Communicates with providers and other parties to facilitate care/treatment
Skills and Requirements Include:
- Percent of Travel Required 0 - 10% with a required two-week training in New Albany, OH upon hire
- A Registered Nurse licensure is required
- Associate's degree or equivalent experience
- Utilization Management (UM) experience is required
- A minimum of 3-5 years of clinical experience is required
- The ability to work the hours of 11:30am - 8pm ET is required
