The role involves utilizing clinical experience to assess, plan, implement, coordinate, monitor, and evaluate options to facilitate appropriate healthcare services and benefits for members. Key duties include gathering clinical information, applying criteria to render coverage determinations, and communicating with providers to facilitate care.

Utilization Management Nurse Consultant assessing and coordinating healthcare services

The role involves utilizing clinical experience in a collaborative process to assess, plan, implement, coordinate, monitor, and evaluate options to facilitate appropriate healthcare services and benefits for members. This includes gathering clinical information, applying appropriate criteria to render coverage determinations, and communicating with providers to facilitate care and treatment.

*We are actively seeking candidates based in Washington state or Texas with business management or chief of staff experience. Ideal candidates will have a proven track record of supporting enterprise-level clients in a consulting capacity. Our goal is ...