Population Health/UM Nurse - Remote

Overview

Intus Care is seeking an experienced Population Health Nurse with utilization management experience. This position will support the Interdisciplinary Team and other stakeholders through robust data analysis to promote care coordination, prevent hospitalizations, and minimize unnecessary and/or unwanted participant care.

In Short

• Utilization management experience required.
• Support interdisciplinary teams through data analysis.
• Streamline communication with PACE program customers.
• Manage service authorization and documentation.
• Coordinate claim disputes and collaborate with finance teams.
• Design and implement population-based care coordination activities.
• Monitor patient outcomes and analyze data.
• Identify high-risk participants for targeted interventions.
• Facilitate shared goal models for coordinated care.
• Work in a dynamic healthcare technology environment.

Requirements

• 3 to 5 years of utilization management experience.
• Current RN license.
• Experience in risk-based integrated models of care.
• Ability to use data for decision-making.
• Strong critical thinking and self-management skills.
• Experience in rapid cycle improvement.
• Initiative in process improvement strategies.
• Strong strategic thinking and problem-solving skills.
• Excellent communication and leadership abilities.

Benefits

• Part of a trailblazing healthcare technology team.
• Competitive salary package.
• Comprehensive health, dental, and vision insurance.
• Collaborative and inclusive work environment.
• Opportunities for professional growth and development.