PreferredCertification in utilization management or a related fieldSKILLSWorking knowledge of pertinent regulatory and compliance guidelines and medical policiesAbility to multi task and perform in a fast paced and often intense environmentExcellent written and verbal communication skillsAbility to analyze data, measure outcomes, and develop action plansBe enthusiastic, innovative, and flexibleBe a team player who possesses strong analytical and organizational skillsDemonstrated ability to prioritize work demands and meet deadlinesExcellent computer and software knowledge and skillsLanguages (Other than English)NoneTravel Requirement0% - 25%PHYSICAL, MENTAL DEMANDS and WORKING CONDITIONSPosition TypeOffice-BasedTeaches/trains others regularlyOccasionallyTravel regularly from the office to various work sites or from site-to-siteDoes Not ApplyWorks primarily out-of-the office selling products/services (sales employees)Does Not ApplyPhysical work site requiredYesLifting: up to 10 poundsConstantlyLifting: 10 to 25 poundsOccasionallyLifting: 25 to 50 poundsRarely, OccasionallyDisclaimer: The job description has been designed to indicate the general nature and essential duties and responsibilities of work performed by employees within this job title. Other duties as assigned or requestedEDUCATIONRequiredNoneSubstitutionsNonePreferredBachelor's Degree in NursingEXPERIENCERequired3 years of related, progressive clinical experience in the area of specializationExperience in a clinical settingPreferredExperience in UM/CM/QA/Managed CareLICENSES AND CERTIFICATIONSRequiredCurrent State of PA RN licensure OR Current multi-state licensure through the enhanced Nurse Licensure Compact (eNLC).