Remote Utilization management Nurse Consultant

Location: New Mexico, Oklahoma, Texas

Compensation: To Be Discussed

Staff Reviewed: Thu, Feb 18, 2021

This job expires in: 24 days

Job Category: Healthcare

Remote Level: 100% Remote

Weekly Hours: Full Time

Employer Type: Employer

Career Level: Experienced

Education Level: Some College

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

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