California Licensed Utilization Management Nurse

Job Summary

A company is looking for a Utilization Management Nurse.

Key Responsibilities

• Participates in the development and implementation of Quality Management (QM) Work Plan activities
• Processes and evaluates complex data to convert results into meaningful business information
• Documents QM activities to ensure compliance with business, regulatory, and accreditation requirements

Required Qualifications

• Bachelor's Degree in Nursing or comparable healthcare experience
• Current unrestricted RN state licensure
• 3+ years of clinical experience in the healthcare industry
• 3+ years of work-related experience in healthcare
• 5+ years of clinical and/or managed care experience preferred