Medical Management Clinician Senior -Licensed Nurse

The Medical Management Clinician Senior -Licensed Nurse is responsible for ensuring appropriate, consistent administration of plan benefits by reviewing clinical information and assessing medical necessities under relevant guidelines and/or medical policies. This role is virtual with required in-person training sessions, and the candidate must be licensed in applicable state(s) or territory of the United States.

Requirements

• Requires H.S. diploma or equivalent
• Requires a minimum of 6 years of clinical experience and/or utilization review experience
• Current active, valid and unrestricted LPN/LVN or RN license and/or certification to practice as a health professional within the scope of licensure in applicable state(s) or territory of the United States required

Benefits

• Paid Time Off
• 401(k) +match
• stock purchase plan
• life insurance
• wellness programs
• financial education resources
• medical
• dental
• vision
• short and long term disability benefits