New York Licensed Clinical Review Nurse

A company is looking for a Clinical Review Nurse.

Key Responsibilities

Perform Utilization Review activities in accordance with jurisdictional guidelines

Assess medical necessity and appropriateness of treatments and medications for injured employees

Document Utilization Review activities accurately and communicate determinations to relevant parties

Required Qualifications

Active unrestricted RN license in a state or territory of the United States

5+ years of related experience or equivalent combination of education and experience

Bachelor's degree in nursing (BSN) preferred

Certification in case management or related specialty is highly preferred

Ability to obtain necessary Insurance License(s) within three to six months of employment