Compact RN Utilization Management Nurse

A company is looking for a Utilization Management Nurse Consultant - Work From Home.

Key Responsibilities

Utilizes clinical experience to assess, plan, implement, coordinate, monitor, and evaluate healthcare services for members

Gathers clinical information and applies clinical criteria to render coverage determinations

Communicates with providers to facilitate care and identifies members for referral opportunities

Required Qualifications

Active, current, and unrestricted compact RN licensure in state of residence

3+ years of clinical experience required

1+ years of experience with Microsoft Office Suite required

Proficiency in navigating multiple computer systems

Ability to work in a fast-paced environment