A health insurance company is in need of a Telecommute MCD UM Nurse Consultant. Core Responsibilities of this position include: Gathering clinical information and applying the appropriate medical necessity criteria/guideline.
A staffing company is searching for a person to fill their position for a Telecommute Utilization Nurse in Minneapolis. Candidates will be responsible for the following: Determining proper insurance plan coverage and care.
College graduate with a life science, computing or nursing qualifications preferred. 7+ years of experience and/or demonstrated aptitude for data management work and managerial skills. Prior trial responsibility for entire data management life-cycle. Working knowledge of EDC studies.
Strong technical and functional experience gained through roles as an HCM practitioner, trainer, and in business application implementation. Ability to work under pressure and manage multiple projects. Excellent communication skills required, both verbal and written.
Following up on concerns raised by nurse and physician reviewers. Offering quality improvement suggestions on project protocols and processes. Required Skills: May be required to travel at least 10% of time based on business needs. Current/Active RN license. Associates degree in Nursing.
3+ years clinical nursing experience. Registered Nurse (RN) Ability to analyze documentation of clinical care. Excellent written and verbal communication skills; is a critical thinker and has excellent time management skills. All other requirements necessary for this position.
Graduate from an Accredited School of Nursing. Current state’s RN license. Knowledge of utilization management principles and healthcare managed care. 2+ years of clinical nursing experience in an acute care setting and 1+ years of case management experience in a managed care setting.
Qualifications Include: BS in Biology, Nursing, Chemistry or related field. Knowledge of drug development process. Knowledge of effective clinical data management practices. Fluent in English, both written and verbal.