Utilization Management (UM) Integration Nurse

Bachelor of Science in Nursing (BSN) Must reside in a compact NLC state. Active Compact RN license in good standing with the nursing board of their state. 5+ years of experience in nursing 2+ years working in Utilization Management (UM) Case management experience preferred. Complex discharge planning experience preferred. Willingness to become (and maintain) licensure in multiple states. Skilled in using multiple technology platforms and reporting systems for data analysis, performance tracking, and report creation. Demonstrate strong organizational skills and comfort in reading and interpreting plan documents. Excellent organizational skills and attention to detail required. Ability to be agile and balance multiple priorities while maintaining a positive and professional attitude. Demonstrates professional, appropriate, effective, and tactful communication skills, including written, verbal, and nonverbal. Strong ambition and internal drive are essential to this position. Comfortable discussing different medical conditions. Experience with technology and an understanding of digital tools and EMR platforms. Strong empathy and commitment to patient-centered care. Flexibility and comfort in an evolving environment. Strictly follow security and HIPAA regulations to protect patient medical information. Be pleasant, responsive, and willing to work with and learn from the team. Collaborate well across diverse teams with clinical and non-clinical members to deliver a seamless, top-quality care experience to patients. Translate medical information into clear, accessible, and patient-friendly language. Strict adherence to security and HIPAA regulations. Physical Requirements: Prompt and regular attendance at assigned work location Ability to remain seated in a stationary position for prolonged periods Requires eye-hand coordination and manual dexterity sufficient to operate keyboard, computer and other office-related equipment No heavy lifting is expected, though occasional exertion of about 20 lbs. of force (e.g., lifting a computer / laptop) may be required Ability to interact with leadership, employees, and members in an appropriate manner. This position requires frequent communication with patients and physicians; must be able to exchange accurate information during these patient encounters Occasional overnight business travel

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