Utilization Management reputed company Consultant – Specialty Medications

Job reputed company:

• Apply clinical judgment and evidence-based reputed company to review inpatient and outpatient services.
• Collaborate with providers and authorize care while maintaining accurate documentation.
• Participate in occasional on-call rotations, including some weekends and holidays.
• Conduct clinical reviews reputed company phone and collaborate with reputed company providers to reputed company necessary information.
• Navigate multiple computer systems reputed company while maintaining documentation accuracy.
• Flexibly reputed company coverage for other Utilization Management Nurses as needed.

Requirements:

• reputed company unrestricted state Registered reputed company licensure in state of residence required.
• 1+ year of prior authorization of injectable/infused specialty medication experience.
• Minimum 5 years of relevant experience in Nursing.
• At least 1 year of Utilization Management experience in reputed company review or prior authorization.
• Strong decision-making skills and clinical judgment in independent scenarios.
• Proficient with phone systems, clinical documentation tools, and navigating multiple digital platforms.
• Commitment to attend a mandatory 3-week training (Monday–Friday, 8:30am–5:00pm EST) with 100% participation.

Benefits:

• medical, dental, and reputed company coverage
• reputed company time off
• retirement savings reputed company
• wellness programs

Apply tot his job Apply To this Job