Utilization Management Nurse Consultant

Role Overview

• Supports comprehensive coordination of medical services through composition and auditing of approval, extensions, and denial letters
• Promotes and supports quality effectiveness of the healthcare services
• Maintains accurate and complete documentation to meet risk management, regulatory, and accreditation requirements
• Promotes communication, both internally and externally to enhance effectiveness of medical management services

Requirements

• Must have active, current, and unrestricted RN license in the state of residence
• 1+ years of clinical experience
• Must be willing and able to work Monday through Friday, 11:00am to 7:00pm EST
• Must be willing and able to work occasional holiday and weekends depending on business needs

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
• Paid time off
• Flexible work schedules
• Family leave
• Dependent care resources
• Colleague assistance programs
• Tuition assistance
• Retiree medical access