UM RN - Behavioral Health

This position is listed on behalf of a partner company, who manages all applications and next steps. Our partner is looking for a UM RN - Behavioral Health based in United States.

This role supports members by coordinating high-quality behavioral health services and ensuring appropriate access to care through utilization management practices.
The position combines clinical expertise, care coordination, and evidence-based decision-making to improve member outcomes.
You will review treatment requests, assess medical necessity, and collaborate with providers and healthcare professionals across the care continuum.
The role requires strong clinical judgment, communication skills, and the ability to navigate complex behavioral health needs.
Working remotely, you will help ensure services are delivered efficiently while maintaining compliance with healthcare standards and regulations.
You will contribute to improving care quality, supporting recovery journeys, and enhancing healthcare benefit utilization.
This is an opportunity for an experienced registered nurse to make a meaningful impact within a patient-focused environment.