Prior Authorization UM Nurse Consultant

Job Summary

A company is looking for a Prior Authorization UM Nurse Consultant.

Key Responsibilities:

• Assess, plan, implement, and evaluate healthcare services for members
• Communicate with providers to facilitate care and treatment
• Promote quality effectiveness of Healthcare Services and benefit utilization

Required Qualifications:

• Registered Nurse in state of residence
• 3+ years of Nursing experience
• Prior authorization utilization experience preferred
• Outpatient Clinical experience
• Associates Degree in Nursing, BSN preferred