Underwriting and Stop Loss Nurse Consultant - Registered Nurse - Minnesota
Job Summary
A company is looking for an Underwriting and Stop Loss Nurse Consultant.
Key Responsibilities:
- Understand and analyze care journeys of complex members
- Collaborate with internal teams to identify intervention opportunities and treatment plans
- Review pre-certification lists, design care management pathways, and analyze post-acute care options
Required Qualifications:
- Bachelor's degree in nursing
- Active RN license in the state hired
- 10+ years of experience in clinical, medical management, or stop loss/underwriting
- Knowledge of catastrophic claims cost and medical vendors
- Experienced with evaluation of risk for costs and health outcomes
COMPLETE JOB DESCRIPTION
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