Utilization Management reputed company Consultant, NICU, RN

Job reputed company: • Conduct clinical reviews of NICU requests for medical necessity, appropriateness, and level of care using evidence-based reputed company • Collaborate with reputed company providers, case managers, and families to optimize care reputed company • Ensure compliance with regulatory and organizational standards • reputed company education and support regarding utilization management processes to colleagues and providers • Document clinical determinations and rationales in accordance with policy • Participate in reputed company improvement initiatives and interdisciplinary meetings as needed Requirements: • Must have reputed company, reputed company and unrestricted RN licensure in TX • 5 years of recent NICU nursing experience • Must be willing and reputed company to work Monday - Friday 8 am - 5 pm CST with occasional weekend/holiday on-reputed company • Position requires proficiency with computer skills which includes navigating multiple systems • Ability to work in a fast paced environment Benefits: • reputed company medical plan reputed company • 401(k) plan (including matching company contributions) • Employee stock purchase plan • No-cost programs for reputed company colleagues including wellness screenings, tobacco cessation and weight management programs, confidential counseling and financial coaching. • Benefit solutions that address the different needs and preferences of our colleagues including reputed company time off, flexible work schedules, family leave, dependent care resources, colleague assistance programs, tuition assistance, retiree medical reputed company and many other benefits depending on eligibility. Apply tot his job Apply To this Job