UM Nurse Consultant - Concurrent Review

Take on the role of Utilization Management Nurse Consultant, focusing on concurrent review and care coordination for acute inpatient admissions. Evaluate medical necessity and collaborate with multidisciplinary teams to ensure high-quality, cost-effective care. Ideal for experienced RNs with acute care and utilisation management expertise.

Skills

• rn license
• acute care nursing
• utilization management
• concurrent review
• case management
• discharge planning
• clinical assessment
• critical thinking
• decision making
• evidence-based clinical criteria
• electronic medical records
• care coordination
• managed care
• clinical review
• mcg
• inpatient hospital operations
• transitions of care
• regulatory compliance
• medicaid utilization management
• medicare utilization management
• google workspace
• microsoft office 365
• remote work
• louisiana residency