RN Utilization Management Consultant

Job Summary

A company is looking for a Utilization Management Nurse Consultant - Remote.

Key Responsibilities

• Assess, plan, implement, coordinate, monitor, and evaluate healthcare services for members
• Gather clinical information to render coverage determinations based on clinical criteria and guidelines
• Communicate with providers to facilitate care and identify referral opportunities for members

Required Qualifications

• 2+ years of experience as a Registered Nurse
• Active current and unrestricted RN licensure in the state of residence
• Associate's Degree required
• BSN preferred
• 2+ years of clinical experience in med surg or specialty area preferred