LTSS Utilization Review RN – Remote Potential

Healthcare Support Staffing; New York (NY); On-site; USD 70,000 - 90,000; Full time

Benefits offered by this job

Competitive salary, negotiable based on experience

Benefits offered, including Medical, Dental, and Vision

Fun and positive work environment

Monday through Friday, 8am-5pm work hours

Job summary

A leading healthcare provider is seeking a Registered Nurse for their LTSS department in New York. This role involves providing case management services, evaluating medical services, and managing appeals for denied services. Candidates must possess a valid RN license in New York and have at least 2 years of acute care clinical experience. Competitive salary and benefits offered, along with a supportive work environment focused on member care.

Qualifications

• Clear and active RN license in the state of NY.
• AS/BS in Nursing required.
• At least 2 years of acute care clinical experience.

Responsibilities

• Provide case management services for Long-Term Support Services.
• Collaborate with providers to promote quality member outcomes.
• Manage appeals for services denied.

Skills

Excellent written and verbal communication skills

Education

AS/BS in Nursing

Clear and active RN license in the state of NY

Job description

A leading healthcare provider is seeking a Registered Nurse for their LTSS department in New York. This role involves providing case management services, evaluating medical services, and managing appeals for denied services. Candidates must possess a valid RN license in New York and have at least 2 years of acute care clinical experience. Competitive salary and benefits offered, along with a supportive work environment focused on member care.