Telecommute Outpatient Utilization Management Nurse Consultant

Job ID: Available for Members

Location: Alabama, Arizona, Arkansas, Colorado, Florida, Georgia, Indiana, Iowa, Kansas, Louisiana, Maine, Maryland, Massachusetts, Michigan, Missouri, Nevada, New Hampshire, New Mexico, New York, North Carolina, Ohio, Oklahoma, Oregon, South Carolina, Tennessee, Texas, Utah, Washington, West Virginia, Wisconsin

Compensation: To Be Discussed

Posted: Wednesday, March 07, 2018

Job Category: Case Management, Healthcare, Nursing

Telecommute Level: Majority

Travel Requirements: Onsite Required, Some Travel

Weekly Hours: Full Time

Employment Status: Permanent

Employer Type: Employer

Education Level: Some College

Additional Information: Benefits Available

Job Summary

A healthcare company needs applicants for an opening for a Telecommute Outpatient Utilization Management Nurse Consultant.

Core Responsibilities Include:

  • Gathers clinical information and applies the appropriate clinical criteria/guideline, policy, procedure and clinical judgment to render coverage determination/recommendation
  • Identifies members for referral opportunities to integrate with other products, services and/or programs
  • Communicates with providers and other parties to facilitate care/treatment

Skills and Requirements Include:

  • Percent of Travel Required 0 - 10% with a required two-week training in New Albany, OH upon hire
  • A Registered Nurse licensure is required
  • Associate's degree or equivalent experience
  • Utilization Management (UM) experience is required
  • A minimum of 3-5 years of clinical experience is required
  • The ability to work the hours of 11:30am - 8pm ET is required