Remote Utilization Management Nurse (RN) – PACE Care

Intus Care; United States; On-site; USD 75,000 - 90,000; Full time

Benefits offered by this job

Comprehensive benefits including health, dental, and vision insurance

Opportunities for professional growth and development

Collaborative and dynamic work environment

Job summary

Culina Health is looking for a Utilization Management Nurse. This fully remote position aims to ensure high-quality and compliant care for PACE participants. The successful candidate will work closely with interdisciplinary teams to review service utilization and guide care decisions.

The role requires a current RN license and 3 to 5 years of utilization management experience, alongside excellent communication and strategic thinking skills. Competitive salary and comprehensive benefits are offered.

Qualifications

• 3 to 5 years of utilization management experience.
• Current RN license is required.
• Proven experience working in risk-based integrated models of care.

Responsibilities

• Adhere to PACE program service authorization policies.
• Involve in concurrent review of hospital admissions.
• Maintain accurate records of patient interactions.

Skills

Utilization management experience

Current RN license

Data-driven decision-making

Communication skills

Strategic thinking

Job description

Culina Health is looking for a Utilization Management Nurse. This fully remote position aims to ensure high-quality and compliant care for PACE participants. The successful candidate will work closely with interdisciplinary teams to review service utilization and guide care decisions.

The role requires a current RN license and 3 to 5 years of utilization management experience, alongside excellent communication and strategic thinking skills. Competitive salary and comprehensive benefits are offered.