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Healthcare Support is Hiring an Utilization Management Registered Nurse Near Newark, NJ
Hybrid Stop-Loss & Utilization Risk (Registered Nurse)Healthcare Support is currently interviewing for a Stop-Loss & Utilization Risk (Registered Nurse) positionwith a top-rated managed care organization in the state of New Jersey. This opportunity is a permanent, full-time position offering a competitive salary, full benefits, and a work life balance friendly hybrid work schedule. Daily Responsibilities for Hybrid Stop-Loss & Utilization Risk (Registered Nurse) position:
Identify high-risk patients and engage them in appropriate care management protocols
Communicate cross-functionally with case management, claims, and underwriting
Evaluate risks in stop loss groups, participate in quality improvement efforts, and identify opportunities for lower cost or alternative benefit options
Hours:Monday – Friday | 8am-5pm Requirements:
Active/Unencumbered Registered Nurse License in the state of New Jersey
3 years of clinical experience as a Registered Nurse
2 years of experience working within a MCO, health plan, or TPA setting
Highly knowledgeable in complex case management, disease management, utilization review, and/or utilization management
Must possess excellent communication skills and computer proficiencies
Benefits of this Hybrid Stop-Loss & Utilization Risk (Registered Nurse) position:
HYBRID work schedule 3 days work from home and 2 days in office
Unmatched benefits package: medical, dental, vision, 401k, plenty of PTO and paid holidays
Pay Details:
$76,800 - $102,795 depending on years of relevant experience
Annual bonus potential up to 10%
Interested in being considered for this Hybrid Stop-Loss & Utilization Risk (Registered Nurse) position?If you are interested in applying to this position, please click Apply Now for immediate consideration. For additional consideration, please email a copy of your resume to nicole.black@healthcaresupport.com and our recruiters will reach out. Healthcare Support Staffing, Inc. is an equal employment opportunity employer and will consider all qualified applicants without regard to race, color, religion, disability, sex, sexual orientation, gender identity, national origin, protected veteran status, or any other characteristic protected by applicable local, state, or federal law.#DHSMRN624 #remote