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 to apply clinical criteria for coverage determination
• Consult with providers and facilitate care/treatment while promoting quality effectiveness of healthcare services

Required Qualifications, Training, and Education

• 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
• Managed Care experience, especially in Utilization Management, is preferred