A company is looking for a Utilization Management Nurse Consultant.
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
3+ years of experience as a Registered Nurse (RN)
Active and unrestricted RN licensure in state of residence
Able to work in multiple IT platforms / systems
1+ years of experience with Microsoft Office Applications
Must be willing to work 8-5pm local time
Consultant New York • Carrollton, Texas, United States