2+ years of acute hospital clinical experience. 4+ years of utilization management experience. Current RN license in NewYork and any other compact states. Knowledge of current standard of medical practices and insurance benefits. Familiarity with Milliman and InterQual guidelines.
Required Skills: Registered Nurse with current, valid NewYork state licensure. Ability to effectively manage a minimum caseload of 35 files. Ability to demonstrate accuracy and thoroughness. Proficient computer skills, including Microsoft Office programs.