State Licensed Utilization Management Nurse

Job Summary

A company is looking for a Utilization Management Nurse to deliver patient-centered care and support healthcare navigation.

Key Responsibilities

• Conduct timely reviews of utilization management activities and apply relevant criteria
• Collaborate with healthcare providers to promote quality care and cost-effective outcomes
• Maintain accurate records of utilization management activities and ensure compliance with regulatory standards

Required Qualifications

• Three (3) or more years of clinical nursing experience
• One (1) or more years of utilization management experience
• Active, unrestricted RN license in the state of residence
• Ability to work independently in a fast-paced environment
• Experience with confidentiality and handling sensitive information