Job Summary
A healthcare professional services firm has an open position for a Telecommute Concurrent Review Nurse Consultant in St Louis.
Core Responsibilities Include:
- Assess member's needs
- Determine medical appropriateness of inpatient and outpatient services
- Identify solutions to problems and non-standard requests
Applicants must meet the following qualifications:
- Current unencumbered RN license for the state
- Minimum of 2+ years of acute clinical experience
- 4+ years of utilization management experience
- Familiarity with Milliman and InterQual guidelines
- Strong nursing expertise in managing patients through the continuum of care
- All other requirements listed on the job lead