SNF Utilization Management Registered Nurse - Remote

Overview

Become a part of our caring community and help us put health first. The Utilization Management Nurse utilizes clinical nursing skills to support the coordination, documentation and communication of medical services and/or benefit administration determinations.

In Short

• Utilizes clinical nursing skills for medical services coordination.
• Requires interpretation and independent determination of actions.
• Communicates with providers and members for optimal care.
• Follows established guidelines and procedures.
• Requires Compact licensure as a Registered Nurse.
• 2-3 years of skilled nursing facility experience required.
• Comprehensive knowledge of Microsoft Word, Outlook, and Excel.
• Ability to work independently and as part of a team.
• Remote position with occasional travel to offices for meetings.
• Eligible for a bonus incentive plan based on performance.

Requirements

• Compact licensure as a Registered Nurse in the appropriate state.
• 2-3 years of experience in skilled nursing facility or utilization management.
• Prior clinical experience in acute care or rehabilitation setting preferred.
• BSN or Bachelor's degree in a related field preferred.
• Health Plan experience is a plus.
• Bilingual candidates are preferred.
• Must have a high-speed DSL or cable modem for home office.
• Minimum internet speed of 25mbs download and 10mbs upload required.

Benefits

• Competitive medical, dental, and vision benefits.
• 401(k) retirement savings plan.
• Paid time off and holidays.
• Short-term and long-term disability insurance.
• Life insurance and other opportunities.