NJ Licensed RN - Utilization Review

Job Summary

A company is looking for a RN I (Part Time Week Ends) UR/Prior Authorizations.

Key Responsibilities

• Assess patient's clinical needs against established guidelines to ensure appropriate care levels
• Evaluate the necessity and efficiency of medical services and coordinate care plans
• Document care activities accurately and advocate for members among various healthcare providers

Required Qualifications

• High School Diploma/GED required; Bachelor's degree preferred or relevant experience in lieu of degree
• Minimum of two (2) years clinical experience required
• Active Unrestricted NJ RN License or active Compact License required
• Proficiency in personal computers and supporting software in a Windows environment preferred
• Working knowledge of case/care management principles and utilization management preferred