Weekend Utilization Management Nurse

Job Summary

A company is looking for a Utilization Management Nurse Consultant (Weekend).

Key Responsibilities

• Assess, plan, implement, coordinate, monitor, and evaluate healthcare services for members
• Gather clinical information and apply clinical criteria to render coverage determinations
• Communicate with providers to facilitate care and identify referral opportunities

Required Qualifications

• Registered Nurse with active and unrestricted RN licensure in state of residence
• Education: Diploma RN acceptable; Associate degree/BSN preferred
• 3+ years of experience as a Registered Nurse
• 1+ years of Managed Care experience
• 1+ years of clinical experience in an acute or post-acute setting