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Utilization Management Nurse Consultant - CST

Posted 5 days agoViewed

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💎 Seniority level: Middle, 3+ years of experience as a Registered Nurse; 1+ years of clinical experience in acute or post-acute setting

📍 Location: United States of America, Central Standard Time, NOT STATED

💸 Salary: 29.1 - 62.32 USD per hour

🔍 Industry: Healthcare

🗣️ Languages: English

⏳ Experience: 3+ years of experience as a Registered Nurse; 1+ years of clinical experience in acute or post-acute setting

Requirements:
  • Must have active current and unrestricted RN licensure in state of residence.
  • 3+ years of experience as a Registered Nurse.
  • 1+ years of clinical experience in an acute or post-acute setting.
  • Proficient with computer skills, navigating multiple systems and performing tasks like typing.
  • Effective verbal and written communication skills.
Responsibilities:
  • Utilizes clinical experience and skills in a collaborative process to assess, plan, implement, coordinate, monitor and evaluate healthcare services.
  • Gathers clinical information and applies clinical criteria, policy, and clinical judgment to make coverage determinations.
  • Communicates with providers and other parties to facilitate care and identify members for referral opportunities.
  • Consults and lends expertise to internal and external constituents in the administration of the utilization and benefit management function.
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