Iowa Licensed Utilization Management Rn 3292654 I.Html
Job Description
To support efficient healthcare delivery, the remote Iowa Licensed Utilization Management RN will assess member needs, determine the appropriateness of services, and provide solutions for complex issues while working full-time from 8 a.m. to 5:30 p.m. Central Time.
##### Key responsibilities:
Determine the appropriateness of inpatient and outpatient services based on medical guidelines and benefit determinations
Identify solutions to non-standard requests and complex problems, acting as a resource for others
Translate healthcare concepts into practice, ensuring efficient service delivery and member support
##### Required qualifications:
Current unrestricted RN licensure in the state of residence
3+ years of Managed Care and/or Clinical experience
1+ years of fertility experience
Proven computer proficiency, including strong data entry skills
Willingness to work core hours of 8 a.m. to 5:30 p.m. CST
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