Utilization Management Nurse - Post Acute | Remote

Title: Utilization Management Nurse - Post AcuteLocation:Remote | Candidates must reside within Minnesota or WisconsinJob Type: 6 month contractCompensation: $40.00-48.00/hr W2Industry: Health InsuranceAbout the RoleWe are seeking an experienced Utilization Management Nurse to support post-acute care reviews for a leading health insurance organization headquartered in Minnesota. This role focuses on ensuring medical necessity and compliance for post-acute services such as skilled nursing facilities, acute inpatient rehabilitation, and long-term acute care hospitals.You will play a key part in promoting quality care while managing costs effectively. Job DescriptionAs a Utilization Management Nurse Post Acute, you will review and document prior authorization and concurrent stay requests, along with member case histories, in alignment with organizational policies, clinical criteria (MCG), and member coverage guidelines. This position requires collaboration with members, providers, facilities, medical directors, intake staff, case managers, and internal departments.Strong clinical judgment and attention to detail are essential for determining medical necessity and supporting care transitions. QualificationsRequired:• Active, unrestricted RN license• Associate or Bachelors degree in Nursing• 35+ years of clinical experience• Previous experience in utilization management• Demonstrated clinical assessment skills with the ability to make evidence-based decisions• Ability to work independently and collaboratively within a team environment• Strong organizational skills and attention to detail• Proficiency in navigating multiple computer applicationsPreferred:• Experience with MCG guidelines• Background in post-acute care settings such as skilled nursing, inpatient rehabilitation, or long-term acute care• Familiarity with health insurance processes and compliance standardsBenefitsDahl Consulting is proud to offer a comprehensive benefits package to eligible employees that will allow you to choose the best coverage to meet your familys needs.For details, please review the DAHL Benefits Summary:Take the first step on your new career path!To submit yourself for consideration for this role, simply click the apply button and complete our mobile-friendly online application. Once weve reviewed your application details, a recruiter will reach out to you with next steps! Equal Opportunity StatementAs an equal opportunity employer, Dahl Consulting welcomes candidates of all backgrounds and experiences to apply. If this position sounds like the right opportunity for you, we encourage you to take the next step and connect with us.We look forward to meeting you! #BP.Indeed#ZRCompany DescriptionOur promise is simple. DAHL has proven year after year that we are flexible, consistent and easy to work with, which is why our clients and consultants have stayed with us, and we've continued to grow throughout the years. Our clients know they can depend on our efforts, as we hold their priorities in high regard. We genuinely care about each and every relationship and promise to work with the utmost of respect, integrity and high energy, as we continually strive to build long-term relationships.Apply tot his job