Job Summary
A health insurance company is filling a position for a Telecommuting NV Medicaid Nurse.
Individual must be able to fulfill the following responsibilities:
- Conduct pre-certification and appropriateness of treatment setting reviews
- Ensure member access to necessary, quality healthcare in a cost effective setting
- Consult with clinical reviewers/medical directors to ensure appropriate care
Position Requirements Include:
- Current, active unrestricted Nevada RN license
- Minimum 2 years acute care clinical experience
- Strong computer skills
- Utilization Management / Pre-certification experience
- Managed care experience