Offer summary
Qualifications:
High School Diploma or GED required, 2-5 years clinical experience required, UM/UR experience in managed care needed, Valid New York State Nursing License (RN or LPN) required.Key responsabilities:
- Manage simple and complex medical cases
- Conduct hospital admission certifications and discharge planning
- Coordinate quality healthcare services cost-effectively
- Evaluate member insurance needs and trends
- Perform all activities in compliance with regulations