Req#: 16592Employer Industry: Property & Casualty Insurance
Why Consider this Job Opportunity:
- Salary up to $80,000 annually
- Total compensation package including Medical, Dental, Vision, 401(k), and more
- Opportunities for career growth and development
- Work remotely in a supportive and collaborative environment
- Chance to make a meaningful impact on people's lives
What to Expect (Job Responsibilities):
- Perform precertification reviews for New Jersey auto accident PIP medical treatment referrals
- Utilize critical thinking and clinical judgment to authorize appropriate treatment
- Escalate treatment requests for review when necessary
- Ensure compliance with insurer DPR plans and Care Paths
- Maintain a clear Registered Nurse (RN) license in New Jersey or Nurse Licensure Compact state
What is Required (Qualifications):
- Minimum Education: Associates degree
- 2-3 years of Utilization experience
- New Jersey Decision Point Review (NJ DPR) experience preferred
- Clear Registered Nurse (RN) license in New Jersey or Nurse Licensure Compact state
- Strong critical thinking and clinical judgment skills
How to Stand Out (Preferred Qualifications):
- Experience in New Jersey Decision Point Review (NJ DPR)
- Additional certifications in related fields
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