The Utilization Management Nurse is responsible for handling authorization requests, reviewing requests for medical necessity and plan coverage, managing provider communications, and ensuring accurate data entry of coding and provider information. This position requires knowledge of clinical terminology, basic nursing, attention to detail, and the ability to manage multiple tasks in a fast-paced environment.
These will be completely remote positions, working entirely from the Nurseβs home reviewing cases, educating patients, and managing health care costs. The Nurse will be working remotely Monday through Friday, 8 hours per day for the dependents of our Nationβs Active Duty and eligible retirees.