Pennsylvania Licensed Pre-Certification Nurse

A company is looking for a Pre-Certification Registered Nurse. Key Responsibilities Screen inpatient and ambulatory reservations to ensure insurance approval and appropriate level of care Communicate with hospital departments, physician offices, and insurance companies regarding medical necessity and pre-certification requirements Maintain updated precertification information and refer questionable situations to management as needed Required Qualifications Associate's Degree in nursing, healthcare administration, or a related field 5 years of experience in pre-certification and utilization management review 3 years of experience in the nursing field Licensed Registered Nurse in Pennsylvania upon hire Adept at using computerized insurance verification systems