Weekend Utilization Management Nurse

A company is looking for a Utilization Management Nurse Consultant (Weekend). Key Responsibilities Assess, plan, implement, coordinate, monitor, and evaluate healthcare services 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 Registered Nurse with active and unrestricted RN licensure in state of residence Education: Diploma RN acceptable; Associate degree/BSN preferred 3+ years of experience as a Registered Nurse 1+ years of Managed Care experience 1+ years of clinical experience in an acute or post-acute setting

Apr 10, 2025 - 19:18

A company is looking for a Utilization Management Nurse Consultant (Weekend). Key Responsibilities Assess, plan, implement, coordinate, monitor, and evaluate healthcare services 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 Registered Nurse with active and unrestricted RN licensure in state of residence Education: Diploma RN acceptable; Associate degree/BSN preferred 3+ years of experience as a Registered Nurse 1+ years of Managed Care experience 1+ years of clinical experience in an acute or post-acute setting