Job Summary
A professional services firm has a current position open for a Telecommute Concurrent Review Nurse in Yonkers.
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 York and any other compact states
- Knowledge of current standard of medical practices and insurance benefits
- Familiarity with Milliman and InterQual guidelines