Registered Nurse Consultant

Job Summary

A company is looking for a Utilization Management Nurse Consultant - Remote.

Key Responsibilities

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

Required Qualifications

• 2+ years of experience as a Registered Nurse
• Active, current, and unrestricted RN licensure in state of residence
• Associate's Degree required; BSN preferred
• 2+ years of clinical experience in med surg or specialty area preferred
• Managed Care experience, especially in Utilization Management, is preferred