β¨ About The Role
- The NICU Utilization Management Nurse will assess and interpret member needs to ensure efficient health service administration.
- Responsibilities include determining the appropriateness of inpatient services based on medical guidelines and benefit determinations.
- The role involves acting as a resource for others, providing explanations and information on complex issues.
- The position is fully remote, allowing candidates from across the nation to apply.
- The work schedule is Monday through Friday from 8:00 AM to 5:00 PM, with potential weekend and holiday work required.
β‘ Requirements
- The ideal candidate will have a current, unrestricted Compact RN license in their state of residence.
- A minimum of 3 years of NICU clinical experience is essential for success in this role.
- Proficiency in computer skills, including Microsoft Suite and clinical platforms, is required.
- The candidate should be willing to work weekends and holidays on a rotation basis.
- Strong problem-solving skills and the ability to identify solutions to non-standard requests are crucial.