Required Skills: Registered Nurse with current, valid NewYork state licensure. Ability to effectively manage a minimum caseload of 35 files. Ability to demonstrate accuracy and thoroughness. Proficient computer skills, including Microsoft Office programs.
Registered Nurse with current, valid NewYork state licensure required. Must have proficient computer skills, including Microsoft Office programs. Ability to effectively manage a minimum caseload of 35 files.
2+ years of acute hospital clinical experience. 4+ years of utilization management experience. Current RN license in NewYork and any other compact states. Knowledge of current standard of medical practices and insurance benefits. Familiarity with Milliman and InterQual guidelines.
A health insurance and wellness company has a current position open for a Telecommute Care Management Nurse 2. Individual must be able to fulfill the following responsibilities: Manage a member's health issues. Identify and resolve barriers that hinder effective care.
Making decisions regarding certification or denial of treatment. Qualifications for this position include: Associate Degree in Nursing. NewYork RN licensure. 4 years clinical experience. Thorough knowledge of both C. P. T. and I. C. D. 9 codes. Computer literate.