Utilization Management Nurse Consultant

Responsibilities

• Review clinical information to support coverage decisions
• Collaborate with providers and care teams for treatment coordination
• Identify opportunities to enhance care quality and resource utilization
• Connect members to programs and services for better outcomes
• Provide clinical expertise to internal and external teams

Qualifications

• Active, unrestricted RN license in your state of residence
• 2+ years of adult acute care or critical care experience
• Strong clinical judgment and communication skills
• Organizational skills with ability to multitask in a fast-paced environment

Benefits

• Comprehensive medical, dental, and vision coverage
• Paid time off for rest and relaxation
• Retirement savings options for financial security
• Wellness programs to support overall well-being
• Additional resources for mental and emotional health