Registered Nurse(RN)/Licensed Practical Nurse(LPN)

RN or LPN with valid NC license.
Experience in Utilization Management processes

BSN strongly preferred. 

 

• Knowledge of Microsoft Windows operating system and proficiency with applications such as Microsoft Office.
• Knowledge of medical care patterns, regulatory and governmental rules and regulations along with medical criteria and policies related to care management.
• Demonstrated commitment to high quality service to all customers.
• Strong clinical decision making skills, with the ability to work independently with minimal supervision.
• Ability to embrace and accept change.
• Ability to work with an interdisciplinary team is essential.
• Excellent oral and written communication skills.
• Ability to communicate and deal effectively with providers, members, employers and Plan staff.
• Ability to interpret and summarize medical treatment information
• Adhere to confidentiality, conflict of interest, and code of conduct regulations.
• Demonstrated ability to build collaborative working relationships and effectively act as a supportive team member.

Immediate Interview Process!!

If you are available and interested in hearing more about the opportunity, please send an updated Word copy of your resume.

In considering candidates, time is of essence so please respond ASAP. 

RN or LPN with valid NC license.
Experience in Utilization Management processes

BSN strongly preferred.

All your information will be kept confidential according to EEO guidelines.