Impactful Utilization Review RN - Part-Time Day

Capital Health; New Jersey; On-site; USD 54,277 - 70,905; Part time

Benefits offered by this job

Medical Plan

Dental Plan

Vision Plan

Flexible Spending Account

Retirement Savings Plan

Paid Time-Off Program

Job summary

Capital Health is seeking a part-time Utilization Review RN in Pennington, NJ. The role involves performing a variety of utilization management activities to ensure quality, clinical, and cost-effective outcomes. Key responsibilities include assessing treatment plans, collaborating with healthcare team members, and optimizing resource utilization.

Candidates should possess an Associate's degree in nursing and have significant experience in clinical nursing and utilization review. The position offers competitive compensation and various employee benefits.

Qualifications

• Five years' clinical nursing experience.
• Three years' experience in quality management or utilization review.
• Registered Nurse certification required in New Jersey.

Responsibilities

• Conduct utilization reviews for quality and compliance.
• Collaborate with healthcare team to optimize patient care.
• Review treatment plans and communicate with payers.

Skills

Clinical nursing

Utilization review

Quality management

Basic computer skills

Familiarity with MCG guidelines

Education

Associate's degree in nursing

Tools

Microsoft Office

UR software

EMR

Job description

Capital Health is seeking a part-time Utilization Review RN in Pennington, NJ. The role involves performing a variety of utilization management activities to ensure quality, clinical, and cost-effective outcomes. Key responsibilities include assessing treatment plans, collaborating with healthcare team members, and optimizing resource utilization.

Candidates should possess an Associate's degree in nursing and have significant experience in clinical nursing and utilization review. The position offers competitive compensation and various employee benefits.