RN Utilization Management Consultant

Job Summary

A company is looking for a Utilization Management Nurse Consultant - Concurrent Review.

Key Responsibilities

• Utilizes clinical skills to coordinate and communicate aspects of the utilization/benefit management program
• Consults with internal and external parties regarding utilization/benefit management functions
• Gathers clinical information to render coverage determinations and facilitate optimal care

Required Qualifications

• 3+ years of clinical practice experience in an inpatient setting
• RN with unrestricted state licensure
• Willingness to obtain additional state licenses
• Ability to work rotating weekends
• AA in Nursing required; BSN preferred