Clinical Precertification & Pre-Service Appeals Nurse

CURE Auto Insurance (Citizens United Reciprocal Exchange); Princeton (NJ); Hybrid; USD 65,000 - 75,000; Full time

Benefits offered by this job

Generous paid time off (PTO)

401(k) with company match

Employee Assistance Program (EAP)

Health & wellness perks

Job summary

CURE Auto Insurance in Princeton, NJ is seeking a skilled Precertification & Pre-Service Appeals Nurse. In this role, you will serve as a clinical bridge between provider orders and the approval process, ensuring compliance with New Jersey guidelines.

The ideal candidate must hold an active nursing license and have 2-3 years of clinical experience. The position offers competitive salaries and a comprehensive benefits package, including health coverage and flexible work hours.

Qualifications

• Active, unrestricted Registered Nurse (RN) or Licensed Practical Nurse (LPN/LVN) license in New Jersey.
• Minimum of 2–3 years of clinical nursing experience.
• 1–2 years of experience in Precertification, Case Management, or Managed Care.

Responsibilities

• Review treatment plans for authorization.
• Analyze patient charts for appropriate treatment.
• Investigate and process pre-service appeals.

Skills

Detail-oriented

Strong written communication skills

Strong verbal communication skills

Organizational skills

Multitasking

Education

Graduate of an accredited School of Nursing (Associate or Bachelor’s degree)

Job description

CURE Auto Insurance in Princeton, NJ is seeking a skilled Precertification & Pre-Service Appeals Nurse. In this role, you will serve as a clinical bridge between provider orders and the approval process, ensuring compliance with New Jersey guidelines.

The ideal candidate must hold an active nursing license and have 2-3 years of clinical experience. The position offers competitive salaries and a comprehensive benefits package, including health coverage and flexible work hours.