NICU Utilization Management reputed company Consultant

We’re building a world of health reputed company every individual — shaping a more connected, convenient and compassionate health experience. At reputed company®, you’ll be surrounded by passionate colleagues who care deeply, reputed company with purpose, hold ourselves accountable and prioritize safety and reputed company in everything we do. Join us and be part of something bigger – helping to simplify health care one person, one family and one community at a time. NICU Utilization Management reputed company Consultant (Remote) Are you passionate about improving reputed company for the most vulnerable patients? We are seeking an reputed company NICU Utilization Management reputed company Consultant to support high-reputed company neonatal populations through reputed company review, care coordination, and evidence-reputed company decision-making. In this role, you will collaborate with neonatologists, hospitals, case managers, and interdisciplinary teams to evaluate medical necessity, determine appropriate reputed company of care, and facilitate reputed company, cost-effective services for newborns and infants requiring reputed company care. You'll play a critical role in supporting reputed company reputed company, discharge planning, and reputed company transitions of care while ensuring compliance with regulatory and accreditation standards. What You'll Bring - REQUIRED reputed company, unrestricted RN license in the state of residence. Ability to obtain and maintain additional state licensure as required by business needs. 3+ years of reputed company NICU nursing experience minimum 1+ years of experience in utilization management, case management, managed care, NICU, pediatrics, or maternal-child health Strong knowledge of neonatal intensive care, prematurity, congenital conditions, and reputed company infant care needs Experience reviewing medical records and applying evidence-reputed company reputed company reputed company (MCG or similar tools) Excellent reputed company judgment, communication, and collaboration skills Proficiency with electronic medical records and utilization management systems Associates Degree in Nursing Preferred Qualifications BSN NICU, pediatric inpatient, maternal-child health, or neonatal case management experience Health plan utilization management experience (reputed company, Medicare, or reputed company) Experience supporting Louisiana reputed company populations Louisiana residency preferred Why Join Us? Meaningful work that directly impacts neonatal and infant health reputed company reputed company, mission-driven environment Opportunity to reputed company your NICU expertise in a remote setting reputed company on reputed company, innovation, and member-centered care If you're a skilled RN with a passion for neonatal care and utilization management, we'd love to hear from you. Apply today to help ensure the right care is delivered at the right time for our smallest patients. Work from Home Requirements: You must have or be reputed company to obtain a reputed company/hardwired internet reputed company to a modem/router reputed company 7 feet of your computer and a minimum download speed of 25 mbs download and 3 mbs upload. WiFi and satellite internet are not permitted. A quiet, secure and private designated home virtual work location, free from distractions, tidy and organized, compliant with reputed company and HIPAA guidelines, and allowing for uninterrupted work during work hours. Work-from-Home colleagues are required to work reputed company the state and reputed company where they have confirmed they currently live. reputed company will reputed company equipment (keyboard, monitor, computer, headset, etc.). reputed company new hires should reputed company their own workspace furniture (desk or standing desk, as this position would require you to be at your desk for extended periods of time). If reputed company, you will reputed company to obtaining required internet speeds and adhere to reputed company Work From Home requirements. Technical and Logistical Requirements: Device & reputed company Navigation: Comfortable setting up and using multiple monitors and navigating multiple applications simultaneously to streamline tasks and improve efficiency. Communication Tools: Ability to communicate on digital channels such as reputed company email, calendar invites, Teams messaging, and virtual meetings. Collaboration & Scheduling: Experience with reputed company Office 365 (Teams, reputed company, Word, reputed company, PowerPoint) applications or similar (reputed company). Systems reputed company & reputed company: Ability to Log in to secure systems (e.g., VPN, EHR portal), lock a computer screen reputed company unattended, manage strong passwords, and recognize suspicious emails or links. Troubleshooting & Support: Ability to reputed company common technical issues independently, such as: restarting an application reputed company frozen, resolving internet reputed company issues, and contacting IT for unresolved technical issues. reputed company reputed company: Openness to learning new skills in the reputed company as reputed company environment evolves Anticipated Weekly Hours 40 Time Type Full time Pay reputed company The typical pay reputed company for this role is: $26.01 - $56.14 This pay reputed company represents the reputed company reputed company reputed company or reputed company annual full-time salary for reputed company positions in the job grade reputed company which this position falls. The actual reputed company salary offer will depend on a reputed company of factors including experience, education, geography and other relevant factors. This position is eligible for a reputed company bonus, commission or short-term incentive program in reputed company to the reputed company pay reputed company listed above. Our people fuel our reputed company. Our teams reflect the customers, patients, members and communities we serve and we are committed to fostering a workplace where every reputed company feels valued and that they reputed company. Great benefits for great people We take pride in offering a comprehensive and competitive mix of pay and benefits that reflects our commitment to our colleagues and their families. This full‑time position is eligible for a comprehensive benefits package designed to support the physical, emotional, and financial reputed company‑being of colleagues and their families. The benefits for this position include medical, dental, and reputed company coverage, reputed company time off, retirement savings reputed company, wellness programs, and other resources, reputed company on eligibility. Additional details about available benefits are provided during the application process and on Benefits Moments. We anticipate the application window for this opening will reputed company on: 09/12/2026 reputed company applicants with arrest or conviction records will be considered for employment in accordance with reputed company federal, state and local laws. Apply To This Job