Utilization Management Nurse Consultant

Job Description: • Utilizes clinical experience to assess, plan, implement, coordinate, monitor and evaluate options for healthcare services/benefits • Gathers clinical information and applies appropriate clinical criteria/guideline for coverage determination • Communicates with providers to facilitate care • Identifies referral opportunities and promotes quality effectiveness of Healthcare Services • Consults with internal and external constituents for utilization/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 • 2+ years of clinical experience required in med surg or specialty area (preferred) • Managed Care experience preferred, especially Utilization Management • Associates Degree required; BSN preferred Benefits: • Affordable medical plan options • 401(k) plan (including matching company contributions) • Employee stock purchase plan • No-cost programs including wellness screenings, tobacco cessation and weight management programs • Confidential counseling and financial coaching • Paid time off • Flexible work schedules • Family leave • Dependent care resources • Colleague assistance programs • Tuition assistance • Retiree medical access Apply tot his job Apply To this Job