Case Manager

Inpatient Utilization Management Clinician

Remote (Occasional travel to Charlestown MA )

3 months Contract

Qualifications:

Active, unrestricted RN license in state of residence.

Education:

Nursing degree or diploma required, bachelor’s degree in nursing

Preferred/Desirable:

• Bachelor’s degree
• RN license in state of MA, NH or compact license
• Medicare and Medicaid knowledge

Experience:

• 2+ years utilization review experience and evidence-based guidelines (InterQual Guidelines)
• Managed care experience
• Experience performing discharge planning
• All employees working remotely will be required to adhere to Wellenses’ Telecommuter Policy

Licensure, Certification or Conditions of Employment:

• Active, unrestricted RN license in state of residence
• Pre-employment background check
• Ability to take after hours call, including evening/nights/weekends