Telecommute Utilization Management Registered Nurse in the Atlanta Area

Job ID: Available for Members

Location: Georgia

Compensation: To Be Discussed

Staff Reviewed: Thu, Sep 06, 2018

Job Category: Healthcare, Nursing

Telecommute Level: 100% Telecommute

Travel Requirements: No Travel

Weekly Hours: Full Time

Employment Status: Permanent

Employer Type: Employer

Career Level: Experienced

Education Level: Some College

Additional Information: Benefits Available

Job Summary

A healthcare business needs applicants for an opening for a Telecommute Utilization Management Registered Nurse in the Atlanta Area.

Core Responsibilities of this position include:

  • Working post discharge, prebill accounts efficiently and effectively
  • Performing accurate and timely documentation of all review activities
  • Reporting insurance denial trends identified during daily operational assignments

Must meet the following requirements for consideration:

  • Associate’s Degree or higher
  • 2+ year’s experience in either insurance or hospital UM or appeal experience
  • Strong acute Utilization Review experience
  • Experience with Milliman (MCG) or InterQual
  • RN licensure- Licensed to work California and Nevada payors