Utilization Management Nurse I - Remote

Overview

The Utilization Management Nurse I role at Wellmark involves providing UM services, transitioning care, and supporting members and healthcare providers through clinical expertise and effective communication.

In Short

• Position requires working Saturday and Sunday each week.
• Average schedule of 8:00 am - 5:00 pm Central Time.
• Provide consultation based on medical policy and necessity criteria.
• Assess and assist members through the continuum of care.
• Work as part of a multidisciplinary team.
• Requires strong verbal and written communication skills.
• Must have RN or LPN license in Iowa or South Dakota.
• 4+ years of clinical experience required.
• Remote work experience preferred.
• Commitment to service excellence and member advocacy.

Requirements

• Completion of an accredited nursing program.
• Active RN or LPN license in Iowa or South Dakota.
• 4+ years of diverse clinical experience.
• Strong problem-solving and critical thinking skills.
• Ability to manage multiple priorities effectively.
• Strong technical acumen with software systems.
• Experience in utilization management is beneficial.
• Ability to work independently and manage a caseload.
• Excellent communication and relationship-building skills.
• Resourceful self-starter.

Benefits

• Flexible remote work options.
• Comprehensive health benefits.
• Commitment to member advocacy.
• Collaborative team environment.
• Opportunities for professional development.