Registered Nurse Utilization 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/benefits for members
• Gather clinical information to render coverage determinations and recommendations
• Communicate with providers to facilitate care and identify referral opportunities for members

Required Qualifications

• 2+ years of experience as a Registered Nurse in adult acute care/critical care setting
• Active current and unrestricted RN licensure in state of residence
• Availability to work weekends, holidays, and evening hours as needed
• Associates Degree required; BSN preferred
• 2+ years of clinical experience in med surg or specialty area preferred