Texas Licensed Utilization Management RN
VirtualVocationsToms River, New Jersey, United Statesjob_description.job_card.variable_days_ago
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A company is looking for a Fertility Utilization Management RN - Remote.
Key Responsibilities
Determine the appropriateness of inpatient and outpatient services based on medical guidelines and benefit determination
Identify solutions to non-standard requests and problems while acting as a resource for others
Work autonomously on complex issues, making decisions that directly impact members' health outcomes
Required Qualifications
Current unrestricted RN licensure in state of residence
Compact license and / or willingness to obtain additional licenses in specified states
3+ years of Managed Care and / or Clinical experience
1+ years of fertility experience
Proven computer proficiency, including strong data entry skills and navigation in a Windows environment
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Utilization Management Rn • Toms River, New Jersey, United States
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