Utilization Management Nurse

Actalent • Dallas, TX • 4h ago

Clinical Review Nurse (Utilization Management)

100% Remote

Job Description

The role of the Utilization Management Nurse involves performing concurrent reviews, determining the member's overall health, reviewing the @type of care being delivered, evaluating medical necessity, and contributing to discharge planning according to care policies and guidelines. You will assist in evaluating inpatient services to validate the necessity and setting of care being delivered to the member.

Responsibilities

Perform concurrent reviews to assess member's overall health.

Review the @type of care being delivered and evaluate medical necessity.

Contribute to discharge planning according to established care policies and guidelines.

Assist in evaluating inpatient services to ensure the necessity and appropriate setting of care.

Essential Skills

4+ years of hospital experience (ICU, ER, Med-Surge, ER, PACU, etc.)

Additional Skills & Qualifications

Bachelor's or Associate's degree in Nursing.

Texas Registered Nurse License.

Strong multitasking and time management abilities.

Quick learning and adaptable attitude.

Computer savvy.

Work Environment

This position is fully remote. Candidates can be located anywhere within Texas.

Pay and Benefits

The pay range for this position is $35.00 - $40.00/hr.

Eligibility requirements apply to some benefits and may depend on your job classification and length of employment. Benefits are subject to change and may be subject to specific elections, plan, or program terms. If eligible, the benefits available for this temporary role may include the following:

Medical, dental & vision - Critical Illness, Accident, and Hospital - 401(k) Retirement Plan - Pre-tax and Roth post-tax contributions available - Life Insurance (Voluntary Life & AD&D for the employee and dependents) - Short and long-term disability - Health Spending Account (HSA) - Transportation benefits - Employee Assistance Program - Time Off/Leave (PTO, Vacation or Sick Leave)

Workplace Type

This is a fully remote position.

Application Deadline

This position is anticipated to close on Sep 29, 2025.

About Actalent

Actalent is a global leader in engineering and sciences services and talent solutions. We help visionary companies advance their engineering and science initiatives through access to specialized experts who drive scale, innovation and speed to market. With a network of almost 30,000 consultants and more than 4,500 clients across the U.S., Canada, Asia and Europe, Actalent serves many of the Fortune 500.

The company is an equal opportunity employer and will consider all applications without regard to race, sex, age, color, religion, national origin, veteran status, disability, sexual orientation, gender identity, genetic information or any characteristic protected by law.

If you would like to request a reasonable accommodation, such as the modification or adjustment of the job application process or interviewing due to a disability, please email actalentaccommodation@actalentservices.com (%20actalentaccommodation@actalentservices.com) for other accommodation options.

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