Utilization Management Registered Nurse

HumanPanorama

Multiple Locations
Base: $71,100 - $97,800 py; bonus/equity: eligible...
On-site
Clinical nursing skills
Interpret medical services
Coordinate medical services
The Utilization Management Registered Nurse position at HumanPanorama involves using clinical nursing skills to coordinate medical services and benefit administration determinations. The role prioritizes effective communication with healthcare providers and focuses on ensuring appropriate care levels for members in various settings

Job Summary

  • You will use clinical nursing skills to interpret and support the coordination, documentation and communication of medical services and benefit administration determinations.
  • Using established medical criteria, you will make determinations based on information provided by the attending physician and other care providers.
  • The team's goal is to ensure members receive the appropriate level of care in the most appropriate setting.

Matching Summary

Match Score: 85

The Utilization Management Registered Nurse position at HumanPanorama involves using clinical nursing skills to coordinate medical services and benefit administration determinations. The role prioritizes effective communication with healthcare providers and focuses on ensuring appropriate care levels for members in various settings.

Salary

Base: $71,100 - $97,800 per year; Bonus/Equity: eligible for bonus incentive plan; Benefits: medical, dental, vision, 401(k), time off, disability, life insurance

Skills & Requirements

Must-have

  • clinical nursing skills
  • interpret medical services
  • coordinate medical services
  • communicate medical services
  • facilitate care and treatment

Nice-to-have

  • contributing to consumer experiences
  • understanding organizational strategy
  • passionate about improving experiences

Key Requirements

  • Compact Registered Nurse (RN) license
  • Greater than one year clinical experience
  • RN in hospital, SNF, Home Health, or acute care

Work Rights

Not specified

Tailored Resume

Cover Letter