Description
The Utilization Management Field Nursing Professional 2 utilizes clinical nursing skills in the field to support the coordination, documentation and communication of medical services and/or benefit administration determinations. The Utilization Management Field Nursing Professional 2 work assignments are varied and frequently require interpretation and independent determination of the appropriate courses of action.
Responsibilities
The ideal candidate for this position must live within close proximity to major hospitals in the Phoenix, AZ area. This position is currently full time work at home. As the Covid-19 environment changes and we return to normal business operations and it is considered safe for associates to be onsite once again; this position will be onsite for part of the day at a local hospital located in Phoenix, AZ and the remainder of day will be work at home.
The Utilization Management Field Nursing Professional 2 uses clinical knowledge, communication skills, and independent critical thinking skills towards interpreting criteria, policies, and procedures to provide the best and most appropriate treatment, care or services for members. Coordinates and communicates with providers, members, or other parties to facilitate optimal care and treatment. Understands department, segment, and organizational strategy and operating objectives, including their linkages to related areas. Makes decisions regarding own work methods, occasionally in ambiguous situations, and requires minimal direction and receives guidance where needed. Follows established guidelines/procedures.
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Required Qualifications
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