Utilization Management Nurse Consultant

Job is Expired
Location: Nationwide
Compensation: Hourly
Staff Reviewed: Thu, Sep 21, 2023

Job Summary

A company is looking for a Utilization Management Nurse Consultant.

Key Responsibilities:
  • Conduct retrospective reviews to ensure appropriate utilization of services and adherence to medical necessity criteria
  • Provide expertise and consultation to internal and external stakeholders in coordinating and administering utilization management
  • Evaluate and facilitate appropriate healthcare services and benefits through collaborative processes
Required Qualifications:
  • Minimum of 3 years of clinical experience and managed care experience
  • Minimum of 3 years of utilization management retrospective and claims review experience
  • Proficiency with Microsoft Office Suite products
  • Current active and unrestricted RN licensure in the state of residence
  • Associate's degree required, BSN preferred

COMPLETE JOB DESCRIPTION

The job description is available to subscribers. Subscribe today to get the full benefits of a premium membership with Virtual Vocations. We offer the largest remote database online...

BECOME A PREMIUM MEMBER TO
UNLOCK FULL JOB DETAILS & APPLY

  • ACCESS TO FULL JOB DETAILS AND APPLICATION INFORMATION
  • HUMAN-SCREENED REMOTE JOBS AND EMPLOYERS
  • COURSES, GROUP CAREER COACHING AND RESOURCE DOWNLOADS
  • DISCOUNTED CAREER SERVICES, RESUME WRITING, 1:1 COACHING AND MORE
  • EXCELLENT CUSTOMER SUPPORT FOR YOUR JOB SEARCH