Telecommute Registered Nurse Advisor

Job ID: Available for Members

Location: Florida, Georgia, Texas, Wisconsin

Compensation: To Be Discussed

Staff Reviewed: Tue, Apr 03, 2018

Job Category: Healthcare, Nursing

Telecommute Level: Occasionally

Travel Requirements: Field Travel Required, Some Travel

Weekly Hours: Full Time

Employer Type: Employer

Career Level: Experienced

Education Level: Bachelors

Job Summary

A health insurance company is seeking a Telecommute Registered Nurse Advisor.

Individual must be able to fulfill the following responsibilities:

  • Complete a clinical review of cases by reviewing medical records and criteria
  • Utilize clinical knowledge to determine if medical appropriateness has been met
  • Manage case reviews keeping compliance, quality and productivity in mind

Qualifications Include:

  • Valid drivers license and/or dependable transportation necessary
  • Active RN license in the state(s) in which the nurse is required to practice
  • Ability to be licensed in multiple states without restrictions
  • Prior clinical experience preferably in an acute care, skilled or rehabilitation clinical setting
  • BSN or Bachelor’s degree in a related field
  • Health Plan experience, along with call center or triage experience
  • Previous experience in utilization management, discharge planning and/or home health or rehab