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Utilization Management Nurse Consultant
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- This purpose guides our commitment to deliver enhanced human-centric health care for a rapidly changing world.
- Position Summary: Normal Working Hours:Schedule Monday-Friday; 10:00 AM- 6:30 PM EST No nights, no weekends, and no holidays.
- The UM Nurse Consultant job duties include (not all encompassing): -Reviews services to assure medical necessity, applies clinical expertise to assure appropriate benefit utilization, facilitates safe and efficient discharge planning and works closely with facilities and providers to meet the complex needs of the member.
- Required QualificationsMinimal 3-5+ years clinical practical experience (Bedside Nursing)Must have active, current and unrestricted RN licensure in state of residence and have the ability to obtain multi-state licensure upon hire Preferred QualificationsBilingual Spanish highly preferredCompact RN License or license in multiple statesUM Nurse Consultant experienceExperience with overseas access to careWorking knowledge of problem solving and decision making skills.
- EducationRegistered Nurse: Diploma, Associates degree in Nursing or greater.
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