Impactful RN: Utilization Management Reviewer

Centers Plan for Healthy Living; Florida; On-site; USD 60,000 - 80,000; Full time

Job summary

Centers Plan for Healthy Living in New York is hiring a Full Time Registered Nurse, entry level welcome, to join the utilization management team. You will assess and process authorization requests to determine medical necessity and ensure needed care services and member education.

In a multidisciplinary setting, you will help identify members who need additional care or support at home, coordinating with care managers and providers to promote quality of life and community living.

Qualifications

• Active RN license required.
• Entry level RN welcome.
• Excellent written and verbal communication skills.

Responsibilities

• Assess and process authorization requests to determine medical necessity.
• Ensure appropriate care services and member education.
• Collaborate with multidisciplinary team to identify members needing additional home-based care.

Skills

Active RN license

Entry level RN welcome

Job description

Centers Plan for Healthy Living in New York is hiring a Full Time Registered Nurse, entry level welcome, to join the utilization management team. You will assess and process authorization requests to determine medical necessity and ensure needed care services and member education.

In a multidisciplinary setting, you will help identify members who need additional care or support at home, coordinating with care managers and providers to promote quality of life and community living.