Utilization Management Nurse - Remote

Overview

Utilization Management Nurses at Wellmark provide essential services to members and healthcare providers, utilizing clinical expertise to navigate the healthcare system efficiently.

In Short

• Work schedule includes three weekdays and weekends required.
• Average 40 hours per week.
• Provide UM services and support to members.
• Interpret medical policy and criteria for UM requests.
• Collaborate with a multidisciplinary team.
• Strong communication skills are essential.
• Must be organized and detail-oriented.
• Remote work eligible with some office flexibility.
• Requires RN or LPN license in Iowa or South Dakota.
• 4+ years of clinical experience preferred.

Requirements

• Completion of an accredited nursing program.
• Active RN or LPN license in Iowa or South Dakota.
• 4+ years of diverse clinical experience.
• Experience in utilization management beneficial.
• Strong verbal and written communication skills.
• Commitment to service excellence.
• Ability to manage multiple priorities.
• Strong technical skills.

Benefits

• Competitive salary and benefits package.
• Flexible work environment.
• Commitment to employee development.
• Supportive team culture.
• Opportunities for professional growth.