Registered Nurse 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 and apply clinical criteria to make coverage determinations
• Communicate with providers to facilitate care and identify referral opportunities

Required Qualifications

• 2+ years of experience as a Registered Nurse
• Active and unrestricted RN licensure in state of residence
• Associate's Degree required; BSN preferred
• Preferred 2+ years of clinical experience in med surg or specialty area
• Managed Care experience preferred, especially in Utilization Management