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 management consulting provider is in need of a Remote Concurrent Review Registered Nurse in Cherry Hill. Must be able to: Identify solutions to problems and non-standard requests. Determine medical appropriateness of inpatient and outpatient services.
A minimum of an Associate's degree or completion of a Nursing Program (RN) is required. A minimum 2 or more years of clinical trial management experience is required. Solid understanding of the drug development process including ICH/GCP and local regulatory requirements is required.