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Utilization Management Nurse Consultant

9/24/2025

Remote

Job Summary

A company is looking for a Utilization Management Nurse Consultant - Medical Review (Remote).

Key Responsibilities
  • Contribute to team meetings and foster a collaborative work environment
  • Provide guidance and support to staff while maintaining communication with leadership
  • Assist in onboarding new team members and monitor quality of work
Required Qualifications
  • Active, unrestricted RN license with multistate/compact licensure privileges
  • 5+ years of clinical practice experience in medical healthcare
  • 3+ years of Medical Review or Utilization Management experience
  • 2+ years of healthcare management experience, preferably in a managed care setting
  • Ability to provide on-call UM coverage for nights and weekends on a rotational schedule

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