Registered Nurse Utilization Management

Job Summary

A company is looking for a Utilization Management Nurse Consultant - Work From Home.

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 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
• Associates Degree required; BSN preferred