Role OverviewJoin our Utilization Management team as a Nurse Consultant, where you'll apply clinical judgment and evidence-based criteria to review inpatient and outpatient services.
What You Will Do
Collaborate with providers, authorize care, and escalate cases when needed, all while navigating multiple systems and maintaining accurate documentation.
Why It Might Be a Fit
This role suits nurses who thrive in fast-paced environments, are highly organized, and comfortable with computer-based work.
Requirements
- Active unrestricted state Registered Nurse licensure in state of residence required.
- 3+ years of acute behavioral health and/or substance abuse clinical nursing experience.
- 1+ year of concurrent review or prior authorization preferably in Behavioral Health and Substance Abuse.
- Commitment to attend a mandatory 3-week training (Monday–Friday, 8:30am–5:00pm EST) with 100% participation.
Benefits
- Medical, dental, and vision coverage
- Paid time off
- Retirement savings options
- Wellness programs
- Other resources
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