Registered Nurse Utilization Manager

Job Summary

A company is looking for a Registered Nurse Utilization Manager (RNUM).

Key Responsibilities

• Review cases and educate patients on appropriate care
• Manage healthcare costs for dependents of Active Duty and eligible retirees
• Work remotely Monday through Friday, 8 hours per day

Required Qualifications, Training, and Education

• Bachelor's Nursing Degree
• At least one active state nurse license, preferably compact state licensure
• Minimum of 2 years' experience as an RNUM, preferably in a remote or hybrid environment
• Current certification in either Certified Professional Utilization Review (CPUR) or Certified Case Manager (CCM), or two years of relevant RN experience in utilization management or case management
• Access to secure, high-speed internet