Utilization Management Nurse Consultant

Posted 2025-04-22
Remote, USA Full-time Immediate Start

Description:
? Utilization Management is a 24/7 operation requiring various work schedules.
? Utilizes clinical experience to assess, plan, implement, coordinate, monitor and evaluate healthcare services.
? Communicates with providers to facilitate care and identifies members for referral opportunities.
? Consults and lends expertise to other constituents in benefit management.

Requirements: ? 2+ years of experience as a Registered Nurse in adult acute care/critical care setting ? Must have active current and unrestricted RN licensure in state of residence ? Utilization Management is a 24/7 operation and work schedules include weekends, holidays, and evening hours ? 2+ years of clinical experience required in med surg or specialty area preferred ? Managed Care experience preferred, especially Utilization Management

Benefits:
? Affordable medical plan options
? 401(k) plan (including matching company contributions)
? Employee stock purchase plan
? No-cost programs for all colleagues including wellness screenings, tobacco cessation and weight management programs
? Confidential counseling and financial coaching
? Benefit solutions that address different needs including paid time off, flexible work schedules, family leave, dependent care resources, colleague assistance programs, tuition assistance, retiree medical access

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