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Utilization Management Nurse Consultant - RN
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$29.1 - $62.31
Full-time
- This purpose guides our commitment to deliver enhanced human-centric health care for a rapidly changing world.
- Position SummaryThis Utilization Management (UM) Nurse Consultant role is 100% remote, and the candidate can live in any state, however; preference will be given to those in Pacific Time Zone or willing to work Pacific Time Zone hours.
- As a Utilization Management Nurse Consultant, you will utilize clinical skills to coordinate, document and communicate all aspects of the utilization/benefit management program.
- 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.
- Late shift requirement until 9:00pm EST on a rotating basis.
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