Job Summary
A managed healthcare and insurance company is in need of a Telecommute Transplant Prior Authorization RN Case Manager.
Core Responsibilities of this position include:
- Making outbound calls to assess members' current health status
- Case managing members in the pre-operative and post-operative phases
- Utilizing Milliman criteria to determine clinical coverage
Applicants must meet the following qualifications:
- Current, unrestricted RN license in your state of residence
- Multiple state licensure (in addition to Compact License if applicable) or ability to obtain multiple state nursing licenses
- 3+ years of experience as a Registered Nurse (RN) with a broad-range of nursing skills/focus
- 1+ year of Transplant or Oncology experience working as an RN
- Basic level of proficiency with Microsoft Word, with the ability to navigate a Windows environment
- Access to high-speed internet from home (Broadband cable, DSL or fiber)
