Registered Nurse Consultant

Job Summary

A company is looking for a Utilization Management Nurse Consultant.

Key Responsibilities

• Gather clinical information and apply clinical criteria to make coverage determinations
• Communicate with providers to facilitate care and identify referral opportunities
• Consult with internal and external stakeholders on utilization management functions

Required Qualifications

• Registered Nurse with active and unrestricted RN licensure in state of residence
• Education: Diploma RN acceptable; Associate degree/BSN preferred
• 3+ years of experience as a Registered Nurse
• 1+ years of clinical experience in acute or post-acute settings
• 1+ years of Utilization Management or Care Management experience preferred