Job Summary

• Collaborate with other health care givers in reviewing actual and proposed medical care and services against established CMS Coverage Guidelines/NCQA review criteria.
• We offer tangible and intangible benefits such as medical, dental and vision benefits, 401k with company matching, tuition reimbursement, 3 weeks paid vacation time, paid holidays, work-life balance, growth, a positive and fun culture and much more.
• CenterWell is a leading healthcare services business focused on creating integrated and differentiated experiences that put our patients at the center of everything we do.

Matching Summary

Salary

Base: $71,100 - $97,800 per year; Bonus/Equity: eligible for bonus incentive plan; Benefits: medical, dental and vision benefits, 401k with company matching, tuition reimbursement, 3 weeks paid vacation time, paid holidays

Skills & Requirements

Key Requirements

• Active Unrestricted RN license
• Possession of or ability to obtain Compact Nursing License
• 3+ years of clinical RN experience
• Prior managed care experience
• Prior DME experience
• Prior Florida Medicaid experience
• Prior utilization management experience
• Valid driver's license and/or dependable transportation
• Travel for offsite Orientation 2 to 8 weeks
• Travel to offsite meetings up to 6 times a year
• Available for On Call weekend/holiday rotation

Work Rights