JOB SUMMARY:

This position is responsible for performing concurrent review in accordance with accepted department criteria; performing discharge planning and identifying alternate treatment programs; conducting episodic case management, consulting, and collaborating with providers, members, and other resources as appropriate; assessing, planning, and implementing options and services required to meet an individual’s health needs within the scope of their benefit plan.

JOB REQUIREMENTS:

• Register Nurse (RN) with a current, valid, unrestricted license in the state of operations or reciprocity.
• 3 years of clinical experience.
• Experience utilizing various software packages.
• Verbal and written communication skills.
• Analytical skills.
• Incumbents with nursing licenses in positions/departments requiring multi-state licenses are required to obtain and maintain additional current, valid, and unrestricted applicable nursing licenses in other states as determined by management. Multi-state license fees will be provided by the Company. Incumbents with other clinical licenses are not required to obtain multi-state licenses.

PREFERRED JOB REQUIREMENTS:

• Familiarity with UM/CM activities and standardized criteria set.
• Knowledge of ancillary services including HHC, SNF, Hospice, etc.

LOCATION: Remote **Candidates must have a NM license and reside in NM**

POSITION: 3-month assignment

SALARY: $40.00 hourly

HOURS PER WEEK: 40

HOURS PER DAY: 8

Job Type: Full-time

Pay: $39.00 - $40.00 per year