Utilization Management RN

Utilization Management RN

Recognized as one of the Top 50 Best Companies to Work for in the State of Texas!!

AMERIGROUP Corporation, headquartered in Virginia Beach, Virginia, is a multi-state managed health care company focused on serving people who receive health care benefits through publicly sponsored programs including Medicaid and the state’s Children's Health Insurance Program. The Company operates in Texas, New Jersey, New York, Maryland, Illinois, Florida, Ohio, Georgia, Virginia and the District of Columbia.

We are a leader in the health care industry and are consistently rated high in member and provider satisfaction. We will soon be opening an office in San Antonio and are looking for talented individuals to join our team. We invite you to consider working for a company that cares for our associates and the people we serve. Share our commitment to providing quality health care coverage for moms, kids, and individuals with special needs.

Our Utilization Management RNs perform clinical review of all hospital services for appropriateness based on medical criteria. This individual is responsible for the management of inpatient resources necessary and appropriate for achievement of desired impatient outcomes and the coordination of alternative levels of care for our membership.
REQUIREMENTS
Along with a current Texas RN license, the successful Utilization Management RN must be a self starter with a demonstrated history of:

• Managed Care experience,
• 3-5 years advanced clinical experience,
• 2-3 years of prior Utilization Management experience,
• Handling complex clinical situations with emphasis on managed care,
• Creativity and the ability to think outside of the box, and
• Computer literacy

Discharge planning, community health experience and fluency in Spanish would be a plus.

AMERIGROUP offers a competitive salary and benefits package. For consideration, all applicants must apply through our corporate web-site at www.amerigroupcorp.com. Go to View/and or Apply for a Job/Apply for Job, View Job Postings, check the box next to “Nursing & Health Care Mgt”, enter TX in the state field, click on search.

Please visit our website at www.amerigroupcorp.com for more information.

AMERIGROUP Corporation is an Equal Opportunity Employer.