New Jersey Licensed Utilization Nurse Consultant

Job Summary

A company is looking for a Utilization Nurse Consultant.

Key Responsibilities

• Assess, plan, implement, coordinate, monitor, and evaluate healthcare services for members
• Gather clinical information and apply clinical criteria to make coverage determinations
• Communicate with providers to facilitate care and identify referral opportunities for integrated services

Required Qualifications

• 3+ years of experience as a Registered Nurse (RN)
• Active and unrestricted RN licensure in the state of residence
• Experience working with multiple IT platforms/systems
• 1+ years of experience with Microsoft Office Applications
• Willingness to work a Sunday-Thursday schedule