UM Nurse- Compact License required
About the positionResponsibilities• Utilize clinical nursing skills to support coordination and documentation of medical services. • Interpret criteria, policies, and procedures to provide appropriate treatment and care. • Coordinate and communicate with providers and members to facilitate optimal care. • Make independent decisions regarding work methods in ambiguous situations. • Follow established guidelines and procedures. Requirements• Minimum of associate degree in nursing. • Licensed Registered Nurse (RN) in a compact state with no disciplinary action.• Must have valid compact license or reside in a compact state and be eligible to upgrade to compact licensure. • Three (3) or more years of progressive clinical experience. • Effective telephonic and virtual communication skills. • Comprehensive knowledge of Microsoft Word, Outlook, and Excel. • Ability to work independently under general instructions and within a team. Nice-to-haves• BSN. • 2 to 3 years of home health experience and/or utilization management experience. • Experience in a managed care setting.• Health Plan experience. • CGX experience. • Bilingual in English/Spanish. Benefits• Medical, dental, and vision benefits. • 401(k) retirement savings plan. • Paid time off including company and personal holidays. • Volunteer time off. • Paid parental and caregiver leave. • Short-term and long-term disability. • Life insurance. Apply tot his job