State Licensed Care Coordinator RN

Job Summary

A company is looking for a Care Coordinator - Prospective Review RN.

Key Responsibilities

• Perform medical necessity reviews for various hospitalizations and treatment settings
• Consult with Medical Directors regarding care that does not meet criteria
• Document clinical information accurately and participate in quality improvement activities

Required Qualifications

• Bachelor's degree or four years of work experience
• Current State Licensure as a registered nurse
• Three years of clinical experience
• Utilization Management experience (preferred)
• Experience working in a hospital setting (preferred)