Job Summary
A company is looking for a Utilization Management Nurse Consultant in Florida.
Key Responsibilities
- Utilizes clinical skills to coordinate, document, and communicate aspects of the utilization/benefit management program
- Consults with internal and external constituents regarding the utilization/benefit management function
- Gathers clinical information to apply medical necessity criteria for coverage determination and discharge planning
Required Qualifications
- 3+ years of clinical practice experience in an inpatient setting
- Active and unrestricted RN licensure in the state of Florida
- Willingness to obtain additional state licenses as needed
- Must reside in Florida
- Associate's degree required; BSN preferred
Comments