Registered Nurse Utilization Management in Charleston, SC

A company is looking for a Utilization Management RN. Key Responsibilities Assist with building and implementing care management review processes Ensure interventions are collaborative and focus on maximizing member health care outcomes Work collaboratively with the medical management team to identify members for coaching and case management interventions Required Qualifications, Training, and Education Current Registered Nurse license issued by the state or multi-state RN license through eNLC Three years of healthcare clinical experience Bachelor's Degree in Nursing or Associate of Science in Nursing Degree (ASN), with enrollment in a BSN program preferred Experience in Medical Management for Medicare and / or Medicaid populations Utilization Management experience preferred