Join OneHome as a Utilization Management Registered Nurse and leverage your clinical expertise to enhance patient care and streamline medical services. Make a meaningful impact in a supportive community focused on health and wellness.
Key Responsibilities
Utilize clinical nursing skills for coordination and documentation of medical services
Interpret criteria, policies, and procedures for optimal treatment
Coordinate and communicate with providers and members
Make independent decisions regarding work methods
Follow established guidelines and procedures
Required Qualifications
Licensed Registered Nurse (RN) with no disciplinary action
Compact License
3+ years of Skilled Nursing Facility experience or previous experience in utilization management
Prior clinical experience in an acute care, skilled, or rehabilitation clinical setting
Comprehensive knowledge of Microsoft Word, Outlook, and Excel
Ability to work independently and with a team
Passion for improving consumer experiences
Preferred Qualifications
BSN or Bachelor's degree in a related field
Health Plan experience
Previous Medicare/Medicaid experience
Call center or triage experience
Bilingual
Benefits & Perks
Medical, dental, and vision benefits401(k) retirement savings planPaid time off and holidaysVolunteer time offPaid parental and caregiver leaveShort-term and long-term disabilityLife insurance