Providing individualized support to UMR membership, the full-time Remote Senior Clinical Admin Nurse will assist members in navigating the health care system, manage adverse determinations, and offer educational resources while working Monday to Friday from 8:00 am to 5:00 pm. Key responsibilities Provide members with tools and educational support to effectively manage their health concerns Assist members with the appeal process for adverse determinations and provide pre-admission and discharge planning counseling Track activities and maintain documentation for customer reporting and coordinate necessary medical care and community referrals Required qualifications Current and unrestricted RN compact license 4+ years of acute nursing experience 2+ years of case management experience Previous med-surg, critical care, and/or ER experience Basic computer proficiency (e.g., MS Word, Outlook)
Remote Senior Clinical Admin Nurse in workfromhome at Unknown Company
This position is listed as full time and able to be worked remotely.