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 facilitate care/treatment Consult and provide expertise in the coordination and administration of utilization/benefit management functions 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 Willingness to work varying hours, including weekends and holidays Diploma RN or Associate degree in Nursing required; BSN preferred

Mar 6, 2025 - 14:20

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 facilitate care/treatment Consult and provide expertise in the coordination and administration of utilization/benefit management functions 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 Willingness to work varying hours, including weekends and holidays Diploma RN or Associate degree in Nursing required; BSN preferred