Utilization Management Nurse Consultant

This position is listed on behalf of a partner company, who manages all applications and next steps. Our partner is looking for a Utilization Management Nurse Consultant based in Canada.

We are seeking an experienced Registered Nurse to join a remote Utilization Management team in a non-bedside clinical role. You will use your nursing expertise and evidence-based clinical criteria to review cases, assess medical necessity, and support appropriate coverage decisions. Working closely with healthcare providers and interdisciplinary teams, you will help ensure members receive the right care in the right setting at the right time. Your clinical judgment will contribute to effective prior authorization decisions, improved healthcare quality, and better member outcomes. You will also serve as a trusted clinical resource, helping stakeholders navigate complex cases and treatment planning. This opportunity is ideal for a detail-oriented nursing professional who wants to apply their clinical knowledge in a structured, collaborative, and quality-focused remote environment.