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
