Offer summary
Qualifications:
High School Diploma/GED required, Bachelor's degree preferred or relevant experience, Minimum of two years clinical experience, Two years health care payer experience, Active Unrestricted NJ RN License or active Compact License required.
Key responsabilities:
- Assess patient's clinical need for care level
- Evaluate and coordinate appropriateness of medical services
- Monitor services outside local network and negotiate fees
- Advocate for member among various care sites
- Document accurately based on standards and policies