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
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