Job Description
Title : Utilization Management Nurse - Post Acute
Location : Remote | Candidates must reside within Minnesota or Wisconsin
Job Type : 6 month contract
Compensation : $40.00-48.00/hr W2
Industry: Health Insurance
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About the Role We 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 Description As 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.
Qualifications Required: - Active, unrestricted RN license
- Associate or Bachelor’s degree in Nursing
- 3–5+ 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 applications
Preferred: - 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 standards
Benefits Dahl Consulting is proud to offer a comprehensive benefits package to eligible employees that will allow you to choose the best coverage to meet your family’s needs. For details, please review the DAHL Benefits Summary:
How to Apply 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 we’ve reviewed your application details, a recruiter will reach out to you with next steps!
Equal Opportunity Statement As 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!
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Job Tags
Contract work, Remote work,