Job Summary
A healthcare company needs applicants for an opening for a Telecommute Utilization Management Clinical RN Advisor in the St. Petersburg Area.
Candidates will be responsible for the following:
- Examine clinical programs information to identify members for specific case management and / or disease management activities
- Conduct admission review, post-discharge calls and discharge planning
- Manage network participation, care with specialty networks, care with DME providers and transfers
Skills and Requirements Include:
- Travel: Yes, 25 % of the Time
- Active RN license in the your state of Florida and ability to be licensed in multiple states without restrictions
- Minimum 3 years clinical experience in acute care, skilled or rehabilitation setting, combination LPN and RN experience is acceptable
- Ability to work independently under general instructions and with a team
- Ability to use a variety of electronic information applications/software programs
- Must have a separate room for privacy with a locked door during working hours and during communication with members