To support clinical operations, the full-time State Licensed NICU Nurse will manage member care coordination, including pre-admission processes, concurrent reviews, and discharge planning, all while working remotely. Key responsibilities: Initiating the continuum of care process for neonatal admissions Interacting with hospital staff to collect clinical information for medical necessity determinations Coordinating discharge planning needs for newborns being discharged from intensive care nurseries Required qualifications: Registered Nurse (RN) with a current, unrestricted license Three or more years of clinical experience as a nurse in a Level III or Level IV NICU Three or more years of experience in concurrent review or discharge planning within a health plan or acute facility (strongly preferred) Experience with Interqual and/or MCG is preferred Experience with data entry into a database or EHR required
State Licensed NICU Nurse in workfromhome at Unknown Company
This position is listed as full time and able to be worked remotely.