State Licensed Utilization Management Nurse

Job Summary

A company is looking for a Utilization Management Nurse.

Key Responsibilities

• Assess inpatient services for cost-effectiveness and regulatory compliance
• Analyze clinical service requests using evidence-based guidelines
• Collaborate with multidisciplinary teams to promote integrated care models

Minimum Qualifications

• Bachelor's degree in nursing or equivalent experience
• Active, unrestricted State Registered Nursing (RN) license
• MCG certification (or ability to obtain within six months of hire)
• Five years of clinical nursing experience or equivalent knowledge
• Proficiency in Microsoft Suite and electronic medical record (EMR) systems