Registered Nurse Consultant
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 to make coverage determinations and recommendations
• Facilitate communication with providers and identify referral opportunities for integrated care
Required Qualifications
• 3+ years of experience as a Registered Nurse (RN)
• Active and unrestricted RN licensure in the state of residence
• Able to work in multiple IT platforms/systems
• 1+ years of experience with Microsoft Office Applications (Outlook, Teams, Excel)
• Associates Degree in Nursing required; BSN preferred
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