Available Positions

Utilization Management Nurse at Medical Center in Bronx, New York, United States —

Job ID: 1030168

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

1+ years utilization management experience at care plan/provider organization required

Certified NYS RN license or certified NYS LPN license

Apply

Share this job