Utilization Management Registered Nurse
Remote Utilization Management Registered Nurse
HealthCare Support is actively seeking a Utilization Management Registered Nurse to fill an opening with a nonprofit health insurance company that provides health coverage and services to individuals, families, and businesses in Bend, OR.
Daily Responsibilities for the Utilization Management Registered Nurse:
- Collect and assess member information pertinent to member’s history, condition, and functional abilities in order to promote wellness, appropriate utilization, and cost-effective care and services.
- Coordinate necessary resources to achieve member outcome goals and objectives.
- Accurately document case notes and letters of explanation which may become part of legal records.
- Perform concurrent review of members admitted to inpatient facilities, residential treatment centers, and partial hospitalization programs.
- Maintain contact with the inpatient facility utilization review personnel to assure appropriateness of continued stay and level of care.
- Monday-Friday 8am-5pm or Tuesday-Saturday 8am-5pm or Sunday-Thursday 8am-5pm
- Fully remote
Required Qualifications for the Utilization Management Registered Nurse:
- Active and unrestricted RN License in Oregon
- 3+ years of clinical RN experience, must include case management
- Health plan experience highly preferred
- CCM certification required within two years of hire
Preferred Qualifications for the Utilization Management Registered Nurse:
- Certified Case Manager Certification (CCM) as accredited by CCMC (The Commission for Case Management) strongly desired at time of hire
- Prior experience working remotely
Benefits for the Utilization Management Registered Nurse:
- Health Insurance
- Dental and Vision
- FSA and HRA
- Wellness Programs
- Paid Time Off
Pay Details: $75k-$90K per year, depending on experience
Interested in being considered?
If you are interested in applying to this position, please click Apply Now for immediate consideration or if you’d like to stand out, email a copy of your resume to Brandon.schabbel@healthcaresupport.com with the job title and location, and our recruiters will reach out.
Healthcare Support Staffing, Inc. is an equal employment opportunity employer and will consider all qualified applicants without regard to race, color, religion, disability, sex, sexual orientation, gender identity, national origin, protected veteran status, or any other characteristic protected by applicable local, state, or federal law.
#LI-BS1
#DHADRN0125