PRN Utilization Review Nurse - Weekend Admissions

Brundage Group; Pinellas Park, FL; On-site; USD 55,000 - 96,000; Full time

Job summary

Brundage Group is seeking a Utilization Review Nurse (PRN) for a hospital setting in New York. The role focuses on admission and continued stay reviews to ensure medical necessity, optimize resource use, and support compliant reimbursement.

You will collaborate with physicians, case managers, and care teams to determine patient status and align with payer requirements. The position requires 5+ years acute care nursing, RN license, and UR review experience; weekend shifts, and the ability to work

Qualifications

• Perform hospital admission reviews to determine medical necessity and patient status.

Responsibilities

• Perform hospital admission reviews to determine medical necessity and patient status.
• Conduct continued stay reviews using clinical criteria.
• Evaluate documentation for accuracy and regulatory compliance.
• Communicate findings to physicians, case management, and leadership.
• Collaborate with Physician Advisors on complex cases.
• Assist with denial prevention and accurate documentation.
• Proficiency in multiple EHR and case management systems.

Skills

Strong communication skills

Work independently

Adaptability

Team collaboration

Education

RN license

BSN preferred

RN license

BSN preferred

CCM/ACM/CMCN preferred

CMGT-BC preferred

Tools

EHR systems

Case management software

Job description

Brundage Group is seeking a Utilization Review Nurse (PRN) for a hospital setting in New York. The role focuses on admission and continued stay reviews to ensure medical necessity, optimize resource use, and support compliant reimbursement.

You will collaborate with physicians, case managers, and care teams to determine patient status and align with payer requirements. The position requires 5+ years acute care nursing, RN license, and UR review experience; weekend shifts, and the ability to work