Job is Expired
Location: New Mexico, Oklahoma, Texas
Compensation: To Be Discussed
Staff Reviewed: Thu, Feb 18, 2021
Job Summary
A health and dental insurance provider is seeking a Remote Utilization management Nurse Consultant.
Individual must be able to fulfill the following responsibilities:
- Utilizing clinical experience and skills in a collaborative process to facilitate appropriate healthcare services/benefits for members
- Gathering clinical information and applies the appropriate clinical criteria/guideline, policy, procedure and clinical judgment
- Communicating with providers and other parties to facilitate care/treatment
Qualifications Include:
- Registered Nurse with current unrestricted state licensure
- 3+ years of clinical experience
- Work requires the ability to perform close inspection of hand written and computer generated documents as well as a PC monitor
- Sedentary work involving periods of sitting, talking, listening
- Ability to sit for extended periods, talking on the telephone and typing on the computer
- Ability to multitask, prioritize and effectively adapt to a fast-paced, changing environment