State Licensed Utilization Management Nurse - job 2 of 3

Job Summary

A company is looking for a Utilization Management Nurse Consultant to work from home.

Key Responsibilities

• Assess, plan, implement, coordinate, monitor, and evaluate healthcare services for members
• Gather clinical information to make coverage determinations using 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 in an adult acute care or critical care setting
• Active, current, and unrestricted RN licensure in state of residence
• Availability for 24/7 operation, including weekends, holidays, and evening hours
• Associates Degree required; BSN preferred