Utilization Management Nurse Consultant

This is a fully remote position, open to applicants in Pennsylvania.

📋 Description

• Evaluate clinical documents and apply relevant guidelines to facilitate coverage decisions

• Work in partnership with providers and care teams to ensure appropriate treatment coordination

• Discover opportunities to enhance quality, outcomes, and resource efficiency

• Link members to programs and services that promote comprehensive care

• Offer clinical knowledge to both internal and external stakeholders

⛳️ Requirements

• Valid, unrestricted RN license in your state of residence

• Minimum of 2 years' experience in adult acute care or critical care

• Excellent clinical judgment along with strong communication and multitasking abilities

• Ability to thrive in a fast-paced, technology-oriented environment

🏝️ Benefits

• Medical, dental, and vision insurance

• Paid time off

• Retirement savings options

• Wellness programs