Utilization Management Nurse Consultant (UM) - Work at home in CST Zone

The Utilization Management Nurse Consultant uses clinical judgment to review inpatient and outpatient services for medical necessity, appropriateness, and efficiency. This role involves applying clinical criteria (e.g., InterQual, MCG) to determine coverage, coordinating with providers, and documenting decisions. Requires an active RN license (compact preferred), 3+ years of clinical experience, and strong communication skills. Work from home within the Central Time Zone. Salary range: $65,000–$95,000.