Utilization Management Nurse Consultant

Job Summary

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

Key Responsibilities

• Contribute to team meetings and promote a collaborative work environment
• Provide mentorship and support to team members while modeling best practices
• Assist in onboarding new team members and monitor quality and performance

Required Qualifications

• Active, unrestricted RN license in the state of residence with multistate/compact licensure privileges
• 5+ years of clinical practice experience in medical healthcare
• 3+ years of experience in Medical Review or Utilization Management
• 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