Utilization Management Registered Nurse 2 - Remote Eligible

✨ About The Role

- The Utilization Management Registered Nurse 2 will utilize clinical nursing skills to support the coordination and documentation of medical services. - This role involves interpreting criteria, policies, and procedures to ensure optimal treatment and care for members. - The nurse will coordinate and communicate with providers and members to facilitate effective care and treatment. - Decision-making will be required in ambiguous situations, with minimal direction provided. - The position is remote, requiring a reliable high-speed internet connection for effective performance. - The job offers a competitive salary range and is eligible for a bonus incentive plan based on performance.

⚡ Requirements

- The ideal candidate will be a licensed Registered Nurse (RN) with a Compact License and no disciplinary actions. - A minimum of 3 years of experience in a Skilled Nursing Facility is required, showcasing a solid clinical background. - Previous experience in utilization management is essential, indicating familiarity with medical service coordination. - Candidates should possess strong communication skills and the ability to work independently as well as part of a team. - Proficiency in Microsoft Word, Outlook, and Excel is necessary for effective documentation and communication. - A passion for improving consumer experiences and contributing to a healthcare organization is highly valued.