3 or more years of clinical experience as a NICU nurse. 5 years experience working in a concurrent review or discharge planning role within a health plan or an acute facility. Experience with InterQual and/or MCG. Dataentry skills. Must be comfortable with and have good computer skills.
High School Diploma/GED. Written and verbal presentation skills, negotiation skills, and skills. Proficiency in MS Excel and strong analytic skills with ability to interpret, evaluate and act on clinical and financial data.