Similar Jobs
See allUSRN Case Manager (Utilization Management)
Limitlessli
Global
Case Management
Utilization Review
Managed Care
Utilization Management Coordinator
Connecticut General
US
Utilization Review
Medical Terminology
Customer Service
Case manager Nurse-RN
Personify Health
US
Case Management
Utilization Review
Patient Care
Telephonic Nurse Case Manager (Remote)
Berkley Medical Management Solutions
US
Communication
Case Management
Utilization Management Assistant
Cottingham & Butler
US
Communication
Customer Service
Responsibilities:
- Review cases for medical necessity and appropriateness of care.
- Educate patients on appropriate care and healthcare resources.
- Manage healthcare costs.
Requirements:
- Bachelor's Nursing Degree.
- At least one active state nurse license.
- 2 years’ experience as an RNUM.
Skills:
- Highly organized and self-directed.
- Strong verbal and written communication skills.
- Proficient in Microsoft Office.
Spectrum Healthcare Resources
Spectrum Healthcare Resources (SHR) delivers systems and processes designed to meet the unique needs of Military and VA Health Systems. They provide physician and clinical staffing and management services to United States Military Treatment Facilities and VA clinics.