Utilization Management Nurse Consultant

Job Summary

A company is looking for a Utilization Management Nurse Consultant.

Key Responsibilities:

• Review services to ensure medical necessity, coordinate care, and facilitate safe discharge planning
• Utilize clinical skills to document and communicate all aspects of the utilization/benefit management program
• Apply clinical criteria and guidelines to make coverage determinations and recommendations

Required Qualifications:

• Active and unrestricted RN state licensure
• 2+ years of clinical experience as an RN
• Willingness to work varying shifts, including weekends and holidays
• Experience with utilization review and managed care is preferred
• Associates Degree required, BSN preferred