Utilization Management RN Part-Time Remote Position

Utilization Management RN (M-F FROM YOUR HOME OFFICE)

HealthCare Strategies

Description

Do you want to work from the comfort of your own HOME? Do you want to work for a progressive company that is a leader in their industry?
P/T 20 to 25 hours/week
Monday - Friday
Hours: 9am - 6pm ET (core office hours)

. JOB DESCRIPTION:
* Responsible for the collection of personal and clinical information on participating Plan members for the purpose of:
* Providing patient education services.
* Rendering initial determinations of medical appropriateness for communication to the health benefit plan.
* Identifying individuals whose health and/or expenses may be positively affected through application of Large Case Management.

REQUIREMENTS:
* Active, unrestricted RN Compact License
* Minimum internet speeds of 25Mbps download; 25 Mbps upload
* 1+ years experience in hospital setting

ABILITIES/SKILLS:
* Strong verbal communication skills
* Problem-solving and decision-making skills
* Ability to carry out detailed written or verbal instructions independently
* Proficiency with Microsoft Office Suite (Outlook, Word)

PREFERRED:
* 1+ years previous UM experience

* Experience using Interqual criteria.

During our over 40 years in business, HealthCare Strategies has earned a reputation for delivering quality services as a medical management provider and now through technology platforms by offering next generation, informatics-driven, health management services used singularly, or in tandem, with our highly effective clinical programs.