Registered Nurse Utilization Consultant

A company is looking for a Utilization Management Nurse Consultant. Key Responsibilities Assess, plan, implement, coordinate, monitor, and evaluate healthcare services/benefits for members Gather clinical information to render coverage determinations and recommendations Communicate with providers and facilitate care/treatment while identifying referral opportunities Required Qualifications Active current and unrestricted RN licensure in state of residence 3+ years of experience as a Registered Nurse 1+ years of clinical experience in an acute or post-acute setting Ability to work Monday - Friday 8:00am-5:00pm EST with late night rotation and weekends Minimum of an Associate's Degree in Nursing; BSN preferred

May 13, 2025 - 21:16
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Registered Nurse Utilization Consultant
A company is looking for a Utilization Management Nurse Consultant. Key Responsibilities Assess, plan, implement, coordinate, monitor, and evaluate healthcare services/benefits for members Gather clinical information to render coverage determinations and recommendations Communicate with providers and facilitate care/treatment while identifying referral opportunities Required Qualifications Active current and unrestricted RN licensure in state of residence 3+ years of experience as a Registered Nurse 1+ years of clinical experience in an acute or post-acute setting Ability to work Monday - Friday 8:00am-5:00pm EST with late night rotation and weekends Minimum of an Associate's Degree in Nursing; BSN preferred