Utilization Management Nurse Consultant

What you’d do

Remote Medicare precertification utilization management nurse reviewing clinical information against guidelines to make coverage determinations and communicating with providers. Full time, Monday to Friday 9:00am to 5:30pm in the candidate's time zone, with holiday and evening hours as part of a 24/7 operation. Found on the employer's careers page on Oct 19, 2026. Apply through the link.

You’ll need

• 3+ years as a Registered Nurse
• Active unrestricted RN licensure in state of residence
• 1+ years of Med/Surg experience
• 1+ years with Microsoft Office (Outlook, Teams, Excel)
• Prior Authorization or Utilization Management experience