Registered Nurse Utilization Management

A company is looking for a Utilization Management Nurse Consultant for a remote position. Key Responsibilities Coordinate, document, and communicate all aspects of the utilization / benefit management program Assess, plan, implement, coordinate, monitor, and evaluate healthcare services / benefits for members Consult with providers and other parties to facilitate care and identify referral opportunities Required Qualifications 1 year of experience in Utilization Management, concurrent review, or prior authorization 5 years of clinical experience required Demonstrated ability to make independent decisions using clinical judgment Proficient use of clinical documentation systems and equipment Registered Nurse with an unrestricted license in their state of residence