Florida Licensed Utilization Management RN
Company: VirtualVocations
Location: Vista
Posted on: May 13, 2025
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Job Description:
A company is looking for a LTSS Utilization Management RN -
Remote.
Key Responsibilities
Perform utilization management and determine medical necessity for
in-home LTC services
Provide critical analysis of case manager UM submissions and
prepare documentation for Medical Director review
Act as a resource for others, coaching and guiding less experienced
staff
Required Qualifications
Unrestricted RN license in state of residence
1+ years of managed care and/or clinical experience, preferably in
Medicaid and Utilization Management
1+ years of Medicaid Utilization Management experience
1+ years of experience with Microsoft Office (Word, Excel,
PowerPoint)
1+ years of experience navigating in a Windows environment
Keywords: VirtualVocations, Orange , Florida Licensed Utilization Management RN, Healthcare , Vista, California
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