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Utilization Management RN - WV Licensed

Company: VirtualVocations
Location: Orange
Posted on: October 20, 2024

Job Description:

A company is looking for a Utilization Management RN to collaborate with the Medical Director in driving care variance reduction and timely discharges.



Key Responsibilities

Assist in building and implementing care management review processes consistent with industry standards
Work collaboratively with the medical management team to identify members needing enhanced healthcare outcomes
Educate internal and external stakeholders to improve processes and build network relationships


Required Qualifications, Training, and Education

Current unencumbered licensure as a Registered Nurse in the appropriate state
Three years of healthcare clinical experience
Bachelor's Degree in Nursing or currently enrolled in a BSN program
Experience in Medical Management for Medicare and/or Medicaid populations
Utilization Review experience preferred

Keywords: VirtualVocations, Laguna Niguel , Utilization Management RN - WV Licensed, Healthcare , Orange, California

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