Job Summary

A health insurance company is seeking a Telecommuting Telephonic Utilization Management Registered Nurse.

Core Responsibilities of this position include:

• Providing the best and most appropriate treatment, care or services for members
• Interpreting criteria, policies, and procedures
• Coordinating and communicating with providers, members, or other parties to facilitate optimal care

Qualifications Include:

• Licensed Registered Nurse (RN) in the (appropriate state) with no disciplinary action
• 3-5 years of Nursing experience required
• Associate's degree
• Previous experience in utilization management required
• Must have the ability to provide a high speed DSL or cable modem for a home office
• Comprehensive knowledge of Microsoft Word, Outlook and Excel