Utilization Management Nurse Consultant
Core
Utilization Management Nurse Consultant assessing, planning, and coordinating healthcare services and benefits for members using clinical judgment and guidelines.
Role type
Utilization Management Nurse Consultant
Builds
Coverage determinations and care coordination recommendations
Domain
Healthcare / Insurance Administration
Deliverable
client delivery
Required skills
Registered Nurse licensure, acute/critical care experience, clinical criteria application, provider communication, document review, multitasking, computer proficiency
Preferred skills
Med surg or specialty area experience, Managed Care experience, Utilization Management experience, Eastern Time zone residency