Telecommuting Outpatient Utilization Management Registered Nurse Consultant

Job ID: Available for Members

Location: Nationwide

Compensation: To Be Discussed

Posted: Thursday, March 08, 2018

Job Category: Healthcare, Nursing

Telecommute Level: Majority

Travel Requirements: Onsite Required, Some Travel

Weekly Hours: Evening Shift, Full Time

Employment Status: Permanent

Employer Type: Employer

Career Level: Experienced

Education Level: Some College

Additional Information: Benefits Available

Job Summary

A major healthcare, dental, life insurance, and medical services provider is seeking a Telecommuting Outpatient Utilization Management Registered Nurse Consultant.

Must be able to:

  • Utilize clinical experience and skills in a collaborative process to assess, plan, implement, coordinate, monitor and evaluate healthcare options to facilitate appropriate benefits
  • Gather clinical information and apply the appropriate clinical criteria/guideline, policy, procedure and clinical judgment to render coverage determination/recommendation
  • Consult with other internal and external constituents in the coordination and administration of the utilization/benefit management

Skills and Requirements Include:

  • Ability to travel to New Albany, OH for a two-week training upon hire
  • Utilization Management (UM) experience
  • A minimum of 3-5 years of clinical experience
  • An active unrestricted RN License
  • Ability to work the hours of 11:30 am - 8 pm ET
  • The minimum level of education desired for candidates in this position is a Associate's degree or equivalent experience