Registered Nurse Utilization Consultant - job 2 of 3

Job Summary

A company is looking for a Utilization Management Nurse Consultant for a remote position.

Key Responsibilities

• Coordinate and document all aspects of the utilization/benefit management program
• Assess, plan, implement, and evaluate healthcare services and benefits for members
• Communicate with providers to facilitate care and identify referral opportunities

Required Qualifications

• 1 year of experience in Utilization Management, concurrent review, or prior authorization
• 5 years of clinical experience required
• 5 years of experience making independent clinical decisions
• Proficient in using clinical documentation systems and related equipment
• Must hold an unrestricted RN license with multi-state/compact privileges