Job is Expired
Location: Connecticut, Delaware, Florida, Georgia, Indiana, Kentucky, Maine, Maryland, Massachusetts, Michigan, New Hampshire, New Jersey, New York, North Carolina, Ohio, Pennsylvania, Rhode Island, South Carolina, Tennessee, Vermont, Virginia, West Virginia
Compensation: To Be Discussed
Staff Reviewed: Thu, Jun 25, 2015
Job Summary
A diversified health care company that serves the markets for health benefits and services worldwide is filling a position for a Telecommute Utilization Manager Nurse.
Core Responsibilities Include:
- Perform utilization management, utilization review, or concurrent review
- Determine medical appropriateness of inpatient and outpatient services following evaluation of medical guidelines and benefit determination
- Assess and interpret customer needs and requirements
Required Skills:
- Unrestricted RN license required in state of residence
- Three or more years of Managed Care or Clinical experience required
- Ability to create, edit, save and send documents utilizing Microsoft Word
- Ability to navigate a Windows environment