Remote Precertification Nurse (LPN/RN) - NJ/PA

MEDLOGIX, LLC; Hamilton Township (NJ); Remote; USD 65,000 - 90,000; Full time

Job summary

MEDLOGIX, LLC is seeking a Precertification Nurse-LPN/RN for a full-time remote position in NJ/PA. The role involves determining medical necessity for services related to Auto No-Fault injuries, with training to be conducted at the Hamilton, NJ office.

The ideal candidate has a nursing degree, 3 years Med-Surg experience, and proficiency in CPT/ICD coding and office software. Strong communication and the ability to educate clinicians are essential.

Qualifications

• 3 years Med-Surg experience required.
• Strong interpersonal skills, communication and presentation.
• Ability to work independently and manage multiple tasks.
• Ability to educate patients and provider community regarding Pre-Certification processes and governing laws.

Responsibilities

• Perform Pre-Certification determinations to assess medical necessity of requested services for NJ Auto No-Fault injuries.

Education

Graduate of an accredited school of nursing

Tools

Microsoft Office Suite

InterQual/Review Manager/CERME

CPT/ICD-9/ICD-10 coding

Job description

MEDLOGIX, LLC is seeking a Precertification Nurse-LPN/RN for a full-time remote position in NJ/PA. The role involves determining medical necessity for services related to Auto No-Fault injuries, with training to be conducted at the Hamilton, NJ office.

The ideal candidate has a nursing degree, 3 years Med-Surg experience, and proficiency in CPT/ICD coding and office software. Strong communication and the ability to educate clinicians are essential.