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Medical Management Nurse
Syra Health
Indianapolis, IN
**SH-900 Medical Management Nurse Remote in Indiana** **Summary** **Position Summary:** This role involves managing a case load with a focus ...
$72k – $73k/year Apply Now
Medical Management Nurse

**SH-900 Medical Management Nurse Remote in Indiana** **Summary** **Position Summary:** This role involves managing a case load with a focus on medical necessity reviews, clinical requests,...

$72k – $73k/year Apply Now

**SH-900 Medical Management Nurse Remote in Indiana** **Summary** **Position Summary:** This role involves managing a case load with a focus on medical necessity reviews, clinical requests, and effective case management. If you have a keen eye for detail, excellent clinical judgment, and enjoy working in a dynamic, virtual environment, we'd love to hear from you.

Key Responsibilities
  • Manage a census of 35-45 cases, aiming to address 25 cases per day. Responsibilities include medical necessity reviews, handling clinical requests, managing discharges, and making case management referrals.
  • Participate in bi-weekly rounds with physicians and the case management team to coordinate patient care effectively.
Qualifications
  • Candidate must have acute care, ICU, and Med/Surg experience in an inpatient hospital (bedside care) setting.
  • Required experience in Utilization Management and/or familiarity with Milliman Care Guidelines.
  • Required experience in acute inpatient (hospital) nursing, demonstrating strong clinical knowledge and decision-making skills.
  • Comfortable working in a virtual setting with proficiency in IT/computer applications, including Excel, Microsoft Outlook, and Microsoft Teams.
  • Quick learner with the ability to adapt to frequent process changes.
  • Consistent and excellent attendance record.
  • Valid Indiana RN license or compact license is essential.
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