telligen Verified 42h ago
Senior Review Coordinator - Utilization Management (RN)
Oklahoma City, OKAll locationsOklahoma City, OKWest Des Moines, IA Hybrid
Salary not listedPaySalary not listed
TypeFull-time
Work settingHybrid
Verified listing
JobFig found this opening at its original source and checks that it remains available.
About the role
This position will be responsible for conducting utilization review/medical management for all services including training/mentoring other team members and performing preliminary research on requested topics.
What you'll bring
- Current RN license that is recognized in the relevant jurisdiction(s)or other certification directly relevant to the type of review performed
- Ability to obtain required license(s) in state(s) by timeframe set by business not to exceed 6 months
- Current RN license must be unrestricted and if there is a restriction that is allowed by a relevant jurisdiction, according to the Medical Director, it is of the type that does not affect the health professional’s ability to fulfill the roles and responsibilities of a reviewer
- Four-year degree in health care or two- or three-year degree in nursing or related field and/or equivalent training and/or experience
- 3 – 5 years recent experience working in a clinical environment
- 5% local and/or overnight travel
- Knowledge of URAC standards
- Preferred Skills and Experience
- Oncology experience highly preferred
Locations
Oklahoma City, OKWest Des Moines, IA