Remote Clinical Review Nurse (RN) – Utilization Management
Centene Corporation
14 days+
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Benefits offered by this job
Job summary
An established industry player is seeking a Clinical Review Nurse to join their Medical Management team. This remote position offers the opportunity to make a significant impact on the health of 28 million members. The ideal candidate will have a strong background in utilization management and acute care, with the ability to perform concurrent reviews and collaborate with healthcare providers to ensure high-quality care. With competitive pay and comprehensive benefits, including flexible work schedules and tuition reimbursement, this role is perfect for those looking to advance their nursing career while making a difference in the lives of others.
Qualifications
- 2-4 years of related experience in nursing.
- Clinical knowledge to assess overall health and treatment needs.
Responsibilities
- Perform concurrent reviews to determine overall health and appropriate level of care.
- Collaborate with healthcare providers to approve medical determinations.
Skills
Utilization Management
Concurrent Review
Acute Care Experience
Clinical Knowledge
Medicare and Medicaid Regulations
Education
Bachelor’s degree in Nursing
Graduation from an accredited School of Nursing
Job description
An established industry player is seeking a Clinical Review Nurse to join their Medical Management team. This remote position offers the opportunity to make a significant impact on the health of 28 million members. The ideal candidate will have a strong background in utilization management and acute care, with the ability to perform concurrent reviews and collaborate with healthcare providers to ensure high-quality care. With competitive pay and comprehensive benefits, including flexible work schedules and tuition reimbursement, this role is perfect for those looking to advance their nursing career while making a difference in the lives of others.
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