Description

American Traveler is hiring a remote RN for Utilization Management requiring an active MA RN license and 2-4 years of utilization management and managed care experience.

Details

• Fully remote Utilization Management position
• Three positions work Monday to Friday, 8am-5pm, with no weekends or holidays
• One position works a Friday, Saturday, Sunday, Monday schedule with 10-hour shifts (6a-6p, 7a-7p, or 8a-8p)
• Utilizes InterQual for utilization review
• EPIC charting experience preferred

Requirements

• Active MA RN license required with no pending licenses accepted
• AHA-issued certifications only
• 2-4 years of Utilization Management experience required
• 2-4 years of Managed Care experience required
• Experience with Medicaid, Medicare, and Commercial lines of business required

Additional Information

• Conduct utilization review and management activities across Medicaid, Medicare, and Commercial lines of business
• Flu vaccine required during flu season with no religious or medical exemptions allowed
• Local candidates accepted; those residing within 60 miles of Massachusetts General Hospital in Boston are considered local