An RN who coordinates care and services of selected patient populations across the continuum of illness promoting effective utilization and monitoring of health care resources. Performs concurrent and retrospective patient reviews based on accepted quality, utilization, clinical risk and infection control criteria and communicates effectively with all members of the health care team regarding issues identified.MinimumPreferredEducation:BSNExperience:5 years nursing experience within the last 10 yearsUtilization Review, Care/Case Management experienceComputer/Software Knowledge:Basic computer literacyWorking knowledge of MS Word, Outlook, and Clinical data base software (ie, InterQual)Licensure/CertificationRN, current DE licenseBLS required.Certified in Utilization Management and/or Case Management