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 render coverage determinations

Consult and lend expertise in the administration of utilization and benefit management functions

Required Qualifications

3+ years of experience as a Registered Nurse

Active and unrestricted RN licensure in the 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