New Jersey Licensed Registered Nurse

Job Summary

A company is looking for a Registered Nurse.

Key Responsibilities

• Assess patients' clinical needs against established guidelines to ensure appropriate care levels
• Evaluate the necessity and efficiency of medical services and coordinate care plans for members
• Monitor and advocate for patients' medical care activities and outcomes across various service sites

Required Qualifications

• Active NJ or Compact State Nurse License
• Proficiency in personal computers and software in a Windows environment, including MS Office
• Knowledge of hospital structures, payment systems, and care management principles
• Understanding of health care contracts and benefit eligibility requirements
• Experience in mentoring and operations of utilization/case/disease management