Telecommute Utilization Review Nurse Manager

Job ID: Available for Members

Location: Virginia

Compensation: To Be Discussed

Posted: Monday, May 14, 2018

Job Category: Case Management, Healthcare, Nursing

Telecommute Level: 100% Telecommute

Travel Requirements: No Travel

Employer Type: Employer

Career Level: Experienced

Education Level: Some College

Job Summary

A healthcare insurer has a current position open for a Telecommute Utilization Review Nurse Manager.

Core Responsibilities Include:

  • Conducting pre-certification, continued stay review, care coordination and discharge planning
  • Ensuring member access to medical necessary, quality healthcare in a cost effective setting
  • Collaborating with provider to identify proactive discharge planning for members

Position Requirements Include:

  • Virginia residency required
  • Requires current active unrestricted RN license to practice in the state of Virginia
  • 3 years acute care clinical experience
  • Requires strong oral, written and interpersonal communication skills
  • Must have knowledge of medical management process and ability to interpret managed care products