Registered Nurse (RN) - Remote Utilization Management Nurse Consultant
Location: Bismarck North Dakota
Description: Aetna is at the momment seeking for Registered Nurse (RN) - Remote Utilization Management Nurse Consultant right now, this position will be placed in North Dakota. For detail informations about this position opportunity please read the description below. Req ID: 12932BR
This position is with American Health Holding (AHH). Teleco! mmuters must have a separate dedicated area for HIPPA compliance. The candidate will be working on a phone and with a computer.There are two openings available, one with hours that are 10:30 AM - 7:00 PM ET, and the other with hours that are 9:30 AM - 6:00 PM ET.POSITION SUMMARY - Utilizes clinical skills to coordinate, document and communicate all aspects of the utilization/benefit management program. - Requires an RN with unrestricted active license. - Requires at least fives years acute hospital care. - Clinical is processed against approved criteria. - All aspects of the utilization process (including precertification, concurrent and retro reviews and discharge planning) require adherence to URAC standards, various laws and regulations and company policies and procedures. - The UM nurse consultant needs to be highly organized, effective in time management, ability to manage multiple priorities, have strong teamwork skills, comfortable having his/her work measured, and h! ave strong keyboard and telephone skills. EDUCATIONThe highest! level of education desired for candidates in this position is a Bachelor's degree or equivalent experience.LICENSES AND CERTIFICATIONSNursing/Registered Nurse (RN) is requiredFUNCTIONAL EXPERIENCESFunctional -Nursing/Medical-Surgical Care/3+ YearsFunctional - Utilization Review/Utilization Management/1-3 YearsFunctional - Nursing/Oncology/1-3 YearsREQUIRED SKILLSTechnology/Leveraging TechnologyGeneral Business/Turning Data into InformationBenefits Management/Interacting with Medical ProfessionalsDESIRED SKILLSBenefits Management/Maximizing Healthcare QualityAetna does not permit the use of tobacco related products or drugs in the workplace.
Job Function: Health Care
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If you were eligible to this position, please email us your resume, with salary requirements and a resume to Aetna.
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This position starts available on: Fri, 26 Jul 2013 02:47:46 GMT
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