Remote Utilization Management Nurse Consultant (RN)

Job Summary

Seeking an experienced Registered Nurse (RN) for the full-time Remote Utilization Management Nurse Consultant position, where the nurse will review clinical information, collaborate with healthcare providers, and ensure appropriate healthcare services to improve patient outcomes.

Key responsibilities

• Review clinical information and apply evidence-based criteria to make coverage determinations
• Collaborate with providers and care teams to support quality patient care and identify care coordination opportunities
• Document decisions and navigate multiple systems while meeting productivity and quality goals

Required qualifications

• Active, unrestricted RN license in the state of residence
• Minimum of 2 years of RN experience in adult acute care, critical care, med-surg, or a specialty area
• Associate Degree in Nursing