Nurse Medical Management at The Judge Group Inc.

Posted in Other 4 days ago.

Location: Boston, Massachusetts





Job Description:

Location: REMOTE

Description:
Are you a Registered Nurse in Minnesota? Then send your resume to mhuggins@judge.com so we can connect. Honestly, everyone can send me their resume because then we can save some time and discuss available roles based on what you're looking for.


Details:


Title: Nurse Medical Management


Location: Fully remote but must be located and licensed in Minnesota


Summary:


Responsibilities:




  • Promotes quality member outcomes and effective use of resources.


  • Optimizes member benefits.

  • Manages appeals for services denied.

  • Ensures member access to medical necessary, quality healthcare in a cost effective setting according to contract.

  • Assess members needs of and proactive planning for discharge planning.

  • Member care transition through the healthcare continuum.

  • Facilitates accreditation by knowing, understanding, correctly interpreting, and accurately applying accrediting and regulatory requirements and standards.




Requires




  • Current active unrestricted TN RN license.

  • 2 years acute care clinical experience.

  • Reside in TN.



It's probably safe to say you're interested if you made it this far. Go ahead and send your updated resume to mhuggins@judge.com or share this job with your network.


I look forward to hearing from you!


Megan Huggins


Direct line: 484-434-2946


Recruiter, The Judge Group


Contact: mhuggins@judge.com


This job and many more are available through The Judge Group. Find us on the web at www.judge.com
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