Job Summary
A healthcare and pharmaceutical company is in need of a Remote Utilization Management Prior Authorization Registered Nurse Consultant.
Core Responsibilities Include:
- Applying critical thinking, evidenced based clinical criteria and clinical practice guidelines for medical/surgical services r
- Using specific criteria to authorize procedures/services or initiate a Medical Director referral as needed
Qualifications for this position include:
- 3+ years of clinical experience
- Must possess active, unrestricted New Jersey RN licensure OR compact licensure
- 1+ years of experience with Managed care/utilization review/prior authorization experience