Utilization Management Nurse at Medical Center in Bronx, New York, United States —
- Healthcare
- Medical Center
- Bronx, New York, United States USA
- 1/11/21 2021-01-11
Job ID: 1030168
Job Description
- Insurance company in the Bronx looking for a full time utilization management nurse to join their team as soon as possible
- Full time case load:
- Responsibilities will include:
- Collect relevant medical information and apply appropriate evidence-based guidelines and policies
- Meet required decision-making deadlines, including triggering escalation for cases requiring physician review
- Accurately and completely document all communication and decision-making within utilization review tracking platform
- Properly track all utilization reviews
- Participate in quality improvement activities as needed
Qualifications
1+ years utilization management experience at care plan/provider organization required
Certified NYS RN license or certified NYS LPN license
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