5 clinical nurse consultant jobs found

Remote Utilization Management Nurse Job Description As a Utilization Management Nurse for Post Acute care, you will be responsible for reviewing and documenting prior authorization and concurrent stay requests. You will also manage member case history in compliance with established policies and procedures, applying clinical criteria and member coverage. This role involves interfacing with members, providers, facilities, medical directors, intake staff, case managers, and other internal departments. Your attention to detail and clinical judgment will be crucial in determining the medical necessity of post-acute stays, including skilled nursing facilities, acute inpatient rehabilitation, and long-term acute care hospitals. Responsibilities Review and document prior authorization and concurrent stay requests. Manage and evaluate member case history in line with policies and procedures. Interface with members, providers, facilities, medical directors, and...

Utilization Management Nurse Job Description As a Utilization Management Nurse for Post Acute care, you will be responsible for reviewing and documenting prior authorization and concurrent stay requests. You will also manage member case history in compliance with established policies and procedures, applying clinical criteria and member coverage. This role involves interfacing with members, providers, facilities, medical directors, intake staff, case managers, and other internal departments. Your attention to detail and clinical judgment will be crucial in determining the medical necessity of post-acute stays, including skilled nursing facilities, acute inpatient rehabilitation, and long-term acute care hospitals. Responsibilities Review and document prior authorization and concurrent stay requests. Manage and evaluate member case history in line with policies and procedures. Interface with members, providers, facilities, medical directors, and various...

Remote Utilization Management Nurse Job Description As a Utilization Management Nurse for Post Acute care, you will be responsible for reviewing and documenting prior authorization and concurrent stay requests. You will also manage member case history in compliance with established policies and procedures, applying clinical criteria and member coverage. This role involves interfacing with members, providers, facilities, medical directors, intake staff, case managers, and other internal departments. Your attention to detail and clinical judgment will be crucial in determining the medical necessity of post-acute stays, including skilled nursing facilities, acute inpatient rehabilitation, and long-term acute care hospitals. Responsibilities Review and document prior authorization and concurrent stay requests. Manage and evaluate member case history in line with policies and procedures. Interface with members, providers, facilities, medical directors, and various...

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Job Title: Registered Nurse (RN) Case Manager – Home Health Company: Home Health Care, Inc. Location: Twin Cities Metro Schedule: Monday–Friday, 8 AM–5 PM, rotating on-call + one weekend/month Compensation: $85,000–$130,000 annually + $6,000 first-year bonus To apply, email Tori at tori.strobel@hhcare.net with a brief summary of your RN experience and why you’re pursuing home health. Why Nurses Choose Home Care: Freedom & Flexibility: Independent, schedule-driven days—not 12-hour shifts Meaningful Patient Relationships: See patients progress over time Clinical Variety: Wound care, chronic disease management, teaching, OASIS, and more Stronger Work-Life Balance: Daytime hours and predictable routines Autonomy: Use your critical thinking without constant interruptions or alarms Step into a role where your clinical judgment truly matters. As an RN Case Manager with Home Health Care, Inc., you’ll help patients recover safely at home while enjoying...