Clinical UM Nurse

CenterWell· 10 open roles

Remote RemoteFull-time2 weeks ago

Salaryest.

$78,955 - $78,955

Experience

Mid

Job Type

Full-time

Posted

2 weeks ago

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About This Role

The Clinical UM Nurse utilizes clinical knowledge to interpret criteria, policies, and procedures, providing the best treatment, care, or services for members. This role involves coordinating and communicating with providers, members, or other parties to facilitate optimal care and treatment. The position is remote and requires an active Registered Compact Nurse license.

Key ResponsibilitiesAI-extracted

1
Interprets criteria, policies, and procedures to provide the best treatment, care, or services for members.
2
Coordinates and communicates with providers, members, or other parties to facilitate optimal care and treatment.
3
Typically: Conducts reviews of medical records to determine the appropriateness of care.
4
Typically: Develops and implements plans to improve patient outcomes.

RequirementsAI-extracted

Active Registered Compact Nurse license (RN) in the home state with no disciplinary actions.
Typically: Strong knowledge of clinical guidelines and healthcare regulations.
Typically: Excellent communication and interpersonal skills.
Typically: Ability to work independently in a remote setting.