Remote Concurrent Review Nurse in Newark

Job ID: Available for Members

Location: New Jersey

Compensation: To Be Discussed

Posted: Monday, November 12, 2018

This job expires in 2 days

Job Category: Case Management, Healthcare, Nursing

Telecommute Level: Majority

Travel Requirements: Possible Travel

Weekly Hours: Full Time

Employer Type: Employer

Career Level: Experienced

Education Level: Some College

Job Summary

A professional services firm has a current position open for a Remote Concurrent Review Nurse in Newark.

Must be able to:

  • Determine medical appropriateness of inpatient and outpatient services
  • Ensure proper utilization of health services
  • Identify solutions to problems and non-standard requests

Skills and Requirements Include:

  • 2+ years of acute hospital clinical experience
  • 4+ years of utilization management experience
  • Current RN license in New Jersey and any other compact states
  • Knowledge of current standard of medical practices and insurance benefits
  • Familiarity with Milliman and InterQual guidelines