Florida Licensed Utilization Management Nurse

Job Summary

A company is looking for a Utilization Management Nurse Consultant.

Key Responsibilities

• Utilizes clinical skills to coordinate and document aspects of the utilization/benefit management program
• Consults with internal and external parties on utilization/benefit management functions
• Gathers clinical information to apply medical necessity criteria for coverage determination and discharge planning

Required Qualifications

• 3+ years of clinical practice experience in an inpatient setting
• Active and unrestricted RN licensure in the state of Florida
• Willingness to obtain additional state licenses as needed
• Must reside in Florida
• Associate's degree required; BSN preferred