Location: Remote Duration: 10 months Description: Responsible for the review of precertification admission and concurrent reviews for the appropriateness of the inpatient setting utilizing InterQual criteria. Required to enter or reference data via PC, collaborate with facilities, providers and Medical Directors. Must have excellent written and oral communication skills. Other related skills may be required to perform this job. Two (2) to four (4) years of clinical experience which may include acute patient care, discharge planning, case management, and utilization review, etc. Demonstrated clinical knowledge and experience relative to patient care and health care delivery processes. One (1) year health insurance plan experience or managed care environment preferred. Requirements: Associate Degree or nursing diploma required. At least two (2) years patient care experience. Triage, case management, emergency room or ICU experience or utilization review experience with an insurance company preferred. Expertise in the use of medical terminology. InterQual knowledge preferred Top 3 Required Skills/Experience – 2 years acute care experience with an unrestricted Registered Nurse license ICU/ER preferred should not just be 2 years in a specialized field such as NICU/OB/BH/Substance Abuse InterQual/MCG or other utilization review experience Required Skills/Experience – The rest of the required skills/experience. Include: Advanced computer skills 40+ WPM typing Good verbal and written communication skills Preferred Skills/Experience – Optional but preferred skills/experience. Include: Utilization Review experience at a previous insurance company (medical, surgical admissions) Utilization Review experience in an acute care setting Education/Certifications – Include: Must be a RN with an unrestricted Registered Nurse license As an equal opportunity employer, ICONMA provides an employment environment that supports and encourages the abilities of all persons without regard to race, color, religion, age, sex, national origin, disability status, genetics, protected veteran status, sexual orientation, gender identity or expression, or any other characteristic protected by federal, state, or local laws.