Job Summary

A well-known health insurance company has a current position open for a Telecommute Utilization Management Nurse Consultant.

Core Responsibilities Include:

• Gathering clinical information and applying the appropriate clinical criteria to render coverage determination
• Assessing, planning, and implementing options to facilitate appropriate healthcare services/benefits for members
• Identifying members for referral opportunities to integrate with other product

Required Skills:

• Must attend training period in the office, plus up to 10% travel
• Bachelor's degree or equivalent experience
• An active and good standing RN license is required
• 4-6 years experience within an acute care setting is required
• 2-3 years of Oncology and/or Transplant experience required