A healthcare company is searching for a person to fill their position for a Remote Telephonic High Risk Single Nucleotide Polymorphism Registered Nurse Case Manager in Maryland Heights. Core Responsibilities Include: Making outbound calls to assess members' current health status.
Skills and Requirements Include: Ability to travel 50% by own automobile to assigned local practices. Active RN License in Maryland AND D. C. 3+ years clinical acute care Nursing experience. Utilize databases, spreadsheets, Microsoft office, and other technologies in effective manner.
Conduct UM review. Required Skills: Current unencumbered RN license in Maryland and any other compact states. 2+ years of acute clinical experience. 4+ years of utilization management experience. Familiarity with Milliman and InterQual guidelines. Proficiency in Microsoft Word.