Available Positions

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

  • Healthcare
  • Medical Center
  • Bronx, New York, United States
  • 10/17/20

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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