RN Utilization Management ConsultantVirtualVocations • Port Saint Lucie, Florida, United States
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RN Utilization Management Consultant
VirtualVocations • Port Saint Lucie, Florida, United States
[job_card.30_days_ago]
[job_preview.job_type]
- [job_card.full_time]
[job_card.job_description]
A company is looking for a Utilization Management Nurse Consultant specializing in Medical Review (Remote).
Key Responsibilities
Implement, coordinate, monitor, and evaluate medical review cases using clinical experience
Apply clinical criteria and guidelines to make medical determinations for clients
Assist in training new nurse reviewers and recommend process improvements to enhance quality and client satisfaction
Required Qualifications
Active, unrestricted RN license with multistate / compact licensure privileges
Minimum 3 years of clinical experience
5 years of experience making independent clinical decisions
1+ year of Utilization Review Management or Medical Management experience
Commitment to a mandatory 2-week training program with full participation
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Rn Utilization Management • Port Saint Lucie, Florida, United States
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