RN Utilization Management Nurse

Job Summary

A company is looking for a Utilization Management Registered Nurse 2 to support the coordination and communication of medical services.

Key Responsibilities

• Utilize clinical nursing skills to support medical service coordination and documentation
• Interpret criteria, policies, and procedures to provide optimal care and treatment for members
• Coordinate and communicate with providers and members to facilitate care and treatment

Required Qualifications

• Licensed Registered Nurse (RN) in the appropriate state with no disciplinary action
• Must have Compact License
• 3+ years of Skilled Nursing Facility experience
• Previous experience in utilization management required
• Comprehensive knowledge of Microsoft Word, Outlook, and Excel