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RN Utilization Management Consultant

7/11/2025

Remote

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 render coverage determinations based on clinical criteria and guidelines
  • Communicate with providers to facilitate care and identify referral opportunities for members
Required Qualifications
  • 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

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