Cooperidge Consulting Firm is seeking an experienced Registered Nurse (RN) specializing in Utilization Management (UM) and Utilization Review (UR) to join the team of one of our DoD clients. In this role, you will assess patient care, collaborate with healthcare providers, and ensure compliance with quality standards and policies. This position is essential for promoting efficient healthcare delivery and optimal patient outcomes.

Key Responsibilities:

• Conduct comprehensive reviews of clinical records for appropriateness and necessity of care
• Collaborate with healthcare teams to ensure coordinated patient care
• Facilitate care transitions and discharge planning processes
• Monitor healthcare services to ensure compliance with internal and external regulations
• Educate patients and families about care management processes and available resources

Schedule:

• Monday through Friday<...