RN Utilization Management Consultant in Lake Charles, LA

A company is looking for a Utilization Management Nurse Consultant specializing in Medical Review (Remote). Key Responsibilities Implement, coordinate, monitor, and evaluate medical review cases using clinical experience Render medical determinations based on clinical criteria and guidelines Assist in training new nurse reviewers and recommend process improvements Required Qualifications Active, unrestricted RN license with multistate / compact licensure privileges Minimum 3 years of clinical experience 5 years of independent clinical decision-making experience 1+ year of Utilization Review Management and / or Medical Management experience Commitment to attend a mandatory 3-week training program