RN Utilization Management Consultant

A company is looking for a UM Nurse Consultant (Remote). Key Responsibilities Assess, plan, implement, coordinate, monitor, and evaluate healthcare services/benefits 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 3+ years of experience as a Registered Nurse 3+ years of clinical experience required Active current and unrestricted RN licensure in state of residence 1+ year(s) of clinical experience in an acute or post-acute setting Availability to work Mon-Fri 8:30am-5pm or 10:30am-7pm in the relevant time zone

Feb 22, 2025 - 07:40

A company is looking for a UM Nurse Consultant (Remote). Key Responsibilities Assess, plan, implement, coordinate, monitor, and evaluate healthcare services/benefits 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 3+ years of experience as a Registered Nurse 3+ years of clinical experience required Active current and unrestricted RN licensure in state of residence 1+ year(s) of clinical experience in an acute or post-acute setting Availability to work Mon-Fri 8:30am-5pm or 10:30am-7pm in the relevant time zone