Precertification RN

The Judge Group is an international leader in business technology consulting, talent solutions, and learning and development. With over 30 locations across the U.S., Canada & India, Judge is proud to partner with the best and brightest companies in business today, including over 60 of the Fortune 100. We serve organizations in financial services, healthcare, life sciences, insurance, government, aerospace & defense, manufacturing, and technology & telecommunications. Judge has always been committed to doing what’s right – for our colleagues, our client partners, and our communities. At Judge, we cultivate an inclusive environment that empowers our employees to produce their best work. As a family-owned business, we’re not just a high-performing team, but a high-performing family. Through building relationships and our cultural commitment to caring, we support one another.

Are you a compassionate and experienced RN with a background in NICU care? Do you thrive in a remote work environment and enjoy making a meaningful impact through utilization management? We’re looking for a dedicated Registered Nurse to join our clients team in a part-time remote role supporting hospital admission reviews and discharge planning. If you live in the tri-state area (PA, NJ, DE) and meet the qualifications below, we’d love to hear from you! Part-Time Work Schedule (Post-Training) Week 1: Monday & Tuesday Week 2: Wednesday, Thursday & Friday Repeats every two weeks Approximate weekly hours: 18 hours Position Summary: Under the direction of a designated Manager, the RN will perform telephonic reviews of hospital admissions, recommend alternative levels of care when appropriate, and promote efficient, high-quality healthcare delivery. The role includes early discharge planning, collaboration with hospital staff and physicians, and referral to case management when needed.

Conduct telephonic utilization management for inpatient admissions Assess medical necessity using established criteria Collaborate with attending physicians and hospital case managers Facilitate discharge planning and transitions of care Refer cases to Case Management and Disease Management Identify and report quality of care issues Maintain accurate documentation and compliance Provide exceptional customer service and provider education