Job Summary

A healthcare company needs applicants for an opening for a Telecommute Utilization Management RN Manager.

Core Responsibilities Include:

• Working collaboratively with leadership to achieve and maintain compliance
• Developing, implementing and maintaining all activities and processes necessary to maintain compliance with NCQA and MMOC standards
• Providing open communication and perfect service to other departments, vendors, and providers throughout the region

Applicants must meet the following qualifications:

• Licensed Registered Nurse (RN) in the (appropriate state) with no disciplinary action
• 2 or more years of managed care experience preferably utilization management
• Progressive clinical experience preferably in an acute care, skilled or rehabilitation clinical setting
• Ability to work independently under general instructions and with a team
• Must be passionate about contributing to an organization focused on continuously improving consumer experiences