Utilization Management Nurse Consultant

Job Summary

A company is looking for a Utilization Management Nurse Consultant for a fully remote position.

Key Responsibilities

• Coordinate, document, and communicate aspects of the utilization/benefit management program
• Assess, plan, implement, and evaluate healthcare services/benefits for members
• Communicate with providers to facilitate care and identify referral opportunities

Required Qualifications

• Registered Nurse (RN) license required
• Clinical experience in utilization management or a related field
• Ability to work in a remote environment with required internet specifications
• Flexibility to cover weekends and holidays as needed
• Experience in healthcare services and benefit utilization preferred