RN Utilization Review & Care Coordination Specialist

Valley Medical Services Inc; Paramus (NJ); On-site; USD 69,000 - 86,000; Full time

Benefits offered by this job

Medical/dental/vision discount

Life Insurance

FSA & Commuter benefits

Disability benefits

Paid holidays

PTO & wellness time

Retirement plan

Tuition assistance

Employee assistance program

Fitness center membership

Day care discounts

Job summary

Valley Health System seeks a dedicated Utilization Case Manager at The Valley Hospital in Paramus, NJ. You will perform concurrent utilization review, ensure medical necessity, and support admission decisions while coordinating with physicians, payers, and care teams.

Requirements include BSN and an active NJ RN license; prior case management or utilization review experience is preferred. The role offers comprehensive benefits and a competitive hourly salary range.

Qualifications

• Bachelor's degree (BSN) in nursing required.
• Current RN license in the State of New Jersey required.
• Experience in case management and/or utilization review strongly preferred.

Skills

Utilization review principles

Communication skills

Critical thinking

EMR software proficiency

Multitasking

Regulatory compliance

Education

BSN

Tools

EMR systems

Case management software

Job description

Valley Health System seeks a dedicated Utilization Case Manager at The Valley Hospital in Paramus, NJ. You will perform concurrent utilization review, ensure medical necessity, and support admission decisions while coordinating with physicians, payers, and care teams.

Requirements include BSN and an active NJ RN license; prior case management or utilization review experience is preferred. The role offers comprehensive benefits and a competitive hourly salary range.