2+ years of acute hospital clinical experience. 4+ years of utilization management experience. Current RN license in NewJersey and any other compact states. Knowledge of current standard of medical practices and insurance benefits. Familiarity with Milliman and InterQual guidelines.
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.
A professional services firm has a current position open for a Remote Concurrent Review Nurse in Edison. Candidates will be responsible for the following: Identifying solutions to problems and non-standard requests Conducting UM review and discharge planning at the facility level Following and