Utilization Management Registered Nurse
The Utilization Management nurse works within a multidisciplinary team to help identify and manage members who are in need of additional care or support in their home to improve their quality of life. The Utilization Management nurse will assess and process all authorization requests to determine medical necessity to ensure all care services, member education, and preventative interventions are maintained.
Active and unrestricted NYS RN license
Minimum 2 years utilization management experience
Strong written and verbal communication skills
Ability to travel within assigned area
Bachelor of Science in Nursing
Knowledge of Milliman or InterQual criteria
Please send a resume with cover letter to: Debbie Lin, Recruiter, Centers Plan for Healthy Living LLC at email@example.com. Interviews will be held at our corporate office which is located at 75 Vanderbilt Avenue 7th floor, Staten Island NY 10304. Only qualified applicants will be considered.
We are an Equal Opportunity Employer –M/F/D/V