Florida Licensed Utilization Management RN
A company is looking for a LTSS Utilization Management RN - Remote.
Key Responsibilities
Perform utilization management and determine medical necessity for in-home LTC services
Provide critical analysis of case manager UM submissions and prepare documentation for Medical Director review
Act as a resource for others, coaching and guiding less experienced staff
Required Qualifications
Unrestricted RN license in state of residence
1+ years of managed care and/or clinical experience, preferably in Medicaid and Utilization Management
1+ years of Medicaid Utilization Management experience
1+ years of experience with Microsoft Office (Word, Excel, PowerPoint)
1+ years of experience navigating in a Windows environment
A company is looking for a LTSS Utilization Management RN - Remote.
Key Responsibilities
Perform utilization management and determine medical necessity for in-home LTC services
Provide critical analysis of case manager UM submissions and prepare documentation for Medical Director review
Act as a resource for others, coaching and guiding less experienced staff
Required Qualifications
Unrestricted RN license in state of residence
1+ years of managed care and/or clinical experience, preferably in Medicaid and Utilization Management
1+ years of Medicaid Utilization Management experience
1+ years of experience with Microsoft Office (Word, Excel, PowerPoint)
1+ years of experience navigating in a Windows environment