RN Utilization Management Consultant

Job Summary

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

Key Responsibilities

• Coordinate, document, and communicate aspects of the utilization/benefit management program using clinical skills
• Consult and provide expertise to internal and external constituents regarding utilization/benefit management
• Gather clinical information to apply medical necessity criteria for coverage determinations and discharge planning

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