Utilization Management Nurse, RN

Job Summary

A company is looking for a Utilization Management Nurse to deliver comprehensive, patient-centered care.

Key Responsibilities

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

Required Qualifications

• Three (3) or more years of clinical nursing experience
• Active, Unrestricted RN License in the state of residence
• Ability to work in a fast-paced, detailed, deadline-driven environment
• Experience working independently with strong organizational skills
• Utilization Management or Case Management Certification is a plus