Job Summary
A medical service company is in need of a Remote Utilization Management Nurse Consultant.
Individual must be able to fulfill the following responsibilities:
- Facilitate the delivery of appropriate benefits and/or healthcare information which determines eligibility for benefits
- Gather clinical information and apply the appropriate clinical criteria/guideline, policy, procedure
- Assess, plan, implement, coordinate, monitor and evaluate options to facilitate appropriate healthcare services
Qualifications for this position include:
- 0-10% travel
- Must live within 1 hour of a company office
- 3+ years of clinical experience required
- RN licensure required
- Associate's degree or equivalent experience