Ohio Licensed Utilization Management Nurse

A company is looking for a Utilization Management Nurse Consultant.

Key Responsibilities

Assess, plan, implement, coordinate, monitor, and evaluate healthcare services for members

Gather clinical information and apply clinical criteria to make coverage determinations

Communicate with providers to facilitate care and identify referral opportunities

Required Qualifications

3+ years of experience as a Registered Nurse

Active and unrestricted RN licensure in state of residence

Able to work in multiple IT platforms / systems

1+ years of experience with Microsoft Office Applications (Outlook, Teams, Excel)

Associates Degree in Nursing required; BSN preferred