RN Utilization Review Specialist

Healthcare Support Staffing; City of Syracuse (NY); On-site; USD 70,000 - 95,000; Full time

Job summary

A leading healthcare staffing firm is seeking a Utilization Review RN in Syracuse, NY. The role involves conducting utilization management activities, certification reviews, and collaborating with healthcare providers. Candidates must have an RN License in NY and at least two years of experience. This position offers a stable work schedule from Monday to Friday and an opportunity to work with a prestigious employer in the healthcare sector.

Qualifications

• Two years of experience in a relevant nursing role.
• Ability to navigate multiple programs and applications simultaneously.
• Experience in Utilization Review from a hospital, home health, or managed care setting.

Responsibilities

• Conduct utilization management activities as per policies.
• Respond to calls and conduct certification reviews.
• Coordinate denial processes with physician advisors.

Skills

RN License in NY

Computer literacy

Utilization Review Experience

Job description

A leading healthcare staffing firm is seeking a Utilization Review RN in Syracuse, NY. The role involves conducting utilization management activities, certification reviews, and collaborating with healthcare providers. Candidates must have an RN License in NY and at least two years of experience. This position offers a stable work schedule from Monday to Friday and an opportunity to work with a prestigious employer in the healthcare sector.