An insurance company is searching for a person to fill their position for a Remote Registered Nurse Utilization Management Nurse Consultant. Core Responsibilities Include: Communicating with providers and other parties. Gathering clinical information.
Performing CRM education seminars on a regular basis. Providing CRM consultations. Applicants must meet the following qualifications: BS degree and/or experience in a clinical nursing area. CPHRM designation. Telework within Georgia required.
Must meet the following requirements for consideration: Graduate of an approved educational program for nursing and active RN license. At least 8 years of home health or hospice experience. Knowledge of CMS Home Health and Hospice regulation, including conditions of participation.