New Jersey Licensed Utilization RN

Job Summary

A company is looking for an RN II (Utilization Management).

Key Responsibilities:

• Assess patient clinical needs against established guidelines to ensure appropriate care levels
• Coordinate and implement care plans while monitoring services rendered outside the network
• Serve as a mentor/trainer to new RNs and act as a subject matter expert for various projects

Required Qualifications, Training, and Education:

• High School Diploma/GED required; Bachelor's degree preferred or relevant experience in lieu of degree
• Minimum of two (2) years clinical experience required
• Minimum of two (2) years' experience with health care payer experience required
• Active Unrestricted NJ RN License or active Compact License required
• CCM certification preferred for Clinical Advocate roles