Registered Nurse Consultant

A company is looking for a Utilization Management Nurse Consultant.

Key Responsibilities

Gather clinical information and apply clinical criteria to make coverage determinations

Communicate with providers to facilitate care and identify referral opportunities

Consult with internal and external stakeholders on utilization management functions

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 clinical experience in acute or post-acute settings

1+ years of Utilization Management or Care Management experience preferred