Registered Nurse (RN) - Remote Utilization Management Nurse Consultant
Location: Overland Park Kansas
Description: Aetna is hiring Registered Nurse (RN) - Remote Utilization Management Nurse Consultant right now, this position will be placed in Kansas. For complete informations about this position opportunity please read the description below. This position is with American Health Holding (AHH). Telecommuters must have a separate dedicated area for HIPPA com! pliance. The candidate will be working on a phone and with a computer.The hours of this position are 10:30 AM - 7:00 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 three 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 have strong keyboard and telephone skills. EDUCATIONThe highest level of education desired for candidates in this position is a Bachelor's de! gree or equivalent experience.LICENSES AND CERTIFICATIONSNursi! ng/Registered Nurse (RN) is requiredFUNCTIONAL EXPERIENCESFunctional -Nursing/Medical-Surgical Care/1-3 YearsFunctional - Utilization Review/Utilization Management/1-3 YearsFunctional - Nursing/Oncology/1-3 YearsFunctional - Nursing/Psychiatric/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.
If you interested on this position just click on the Apply button, you will be redirected to the official website
This position starts available on: Sun, 26 May 2013 04:46:39 GMT
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