Appeals Utilization Management Nurse - St. Luke's Health Plan - 156611

Description

Responsible for reviewing and assessing appeal requests for medical procedures, treatments, services, and inpatient admissions to ensure they meet medical necessity criteria.
Facilitates the best possible care for St. Luke’s Health Plan members while managing healthcare costs.

Requirements

• Excellent written and verbal communication skills
• Monday-Friday fully benefitted position with hospital contributions

Qualifications

• Education: Bachelor of Science in Nursing (BSN) or Associates of Nursing Degree
• Experience: 3 years relevant experience (BSN) or 5 years relevant experience (ASN)
• Licenses/Certifications: Current RN licensure in Idaho