Telecommute Utilization Management RN Manager

Location: Alabama, Alaska, Arizona, Arkansas, California, Colorado, Connecticut, Delaware, District of Columbia, Florida, Georgia, Hawaii, Idaho, Illinois, Indiana, Iowa, Kansas, Kentucky, Louisiana, Maine, Maryland, Massachusetts, Michigan, Minnesota, Mississippi, Missouri, Montana, Nebraska, Nevada, New Hampshire, New Jersey, New Mexico, New York, North Carolina, North Dakota, Ohio, Oklahoma, Oregon, Pennsylvania, Puerto Rico, Rhode Island, South Carolina, South Dakota, Tennessee, Texas, Utah, Vermont, Virginia, Washington, West Virginia, Wisconsin, Wyoming

Compensation: To Be Discussed

Staff Reviewed: Fri, Feb 19, 2021

This job expires in: 25 days

Job Category: Healthcare

Remote Level: 100% Remote

Weekly Hours: Full Time

Employer Type: Employer

Career Level: Experienced

Education Level: Bachelors

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

COMPLETE JOB DESCRIPTION

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