North Carolina Licensed Nurse Consultant - Ontario California

Company: VirtualVocations
Location: Ontario, California
Posted On: 01/29/2025

A company is looking for a Utilization Management Nurse Consultant.



Key Responsibilities

Assess, plan, implement, coordinate, monitor, and evaluate healthcare services for members
Gather clinical information and apply clinical criteria to render coverage determinations
Communicate with providers to facilitate care and identify referral opportunities


Required Qualifications

3+ years of experience as a Registered Nurse
Active and unrestricted RN licensure in state of residence
1+ years of clinical experience in an acute or post-acute setting
Experience with MS Office Suite and electronic medical record systems
Willingness to work flexible hours, including weekends and holidays More...

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