California Licensed Nurse Consultant

A company is looking for a Utilization Management Nurse Consultant who will work remotely in the PST zone. Key Responsibilities Review services to ensure medical necessity and facilitate safe discharge planning Coordinate and document all aspects of the utilization/benefit management program Gather clinical information to render coverage determinations and facilitate care/treatment Required Qualifications Must reside in PST zone Active and unrestricted RN state licensure in the state of residence 3+ years of clinical experience as an RN, preferably in Med/Surg, Telemetry, ICU, NICU, Long-term care, or cardiology Associates Degree in Nursing required; BSN preferred

Mar 20, 2025 - 23:22

A company is looking for a Utilization Management Nurse Consultant who will work remotely in the PST zone. Key Responsibilities Review services to ensure medical necessity and facilitate safe discharge planning Coordinate and document all aspects of the utilization/benefit management program Gather clinical information to render coverage determinations and facilitate care/treatment Required Qualifications Must reside in PST zone Active and unrestricted RN state licensure in the state of residence 3+ years of clinical experience as an RN, preferably in Med/Surg, Telemetry, ICU, NICU, Long-term care, or cardiology Associates Degree in Nursing required; BSN preferred