Clinical Care Reviewer UM

Job-Related Experience and Skills:
• 3 or more years’ experience in a related clinical setting.
• Registered Nurse graduated from an accredited program.
• Current unrestricted Iowa Registered Nurse license
• Valid Driver’s License and reliable automobile transportation for on-site assignments and off-site work related activities.

Other Skills:
Competencies:
• Excellent oral and written communication skills.
• Ability to identify problems and recommend solutions.
• Self-directed/Ability to work independently.
• Excellent decision making skills.
• Excellent time management skills, prioritizing work and meeting timelines.
• Ability to advocate for member/member family needs.
• Dedicated to meeting the expectations and requirements of internal and external customers.
• Obtains continuing education required to maintain professional licensure.
• Ability to achieve required performance results on all audits and Inter Rater Reliability (Peer to Peer).

Physical Effort/Working Conditions:
• Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions of the job.
• Primarily works in a climate controlled office based setting. May require driving or commuting to health care facilities. Some positions may require a large amount of walking within the health care facility.

Required Skills:

• 3 to 5 years or more experience in a related clinical setting
• Active Iowa RN license or LPN
• UM Experience / Waiver Knowledge (Home and community based)
  

All your information will be kept confidential according to EEO guidelines.