Utilization Management RN: Optimize Care & Denials

St. Joseph's Health; Woodland Park (NJ); On-site; USD 85,000 - 115,000; Full time

Benefits offered by this job

Competitive salary

Health, dental, vision plans

403b retirement with match

PTO and holidays

Tuition reimbursement

Employee Assistance Program

Long-term disability

Life Insurance

Onsite daycare

Per diem options

Job summary

St. Joseph’s Health in New Jersey seeks a Utilization Management Registered Nurse (UM RN) to evaluate medical necessity, appropriateness, and efficiency of inpatient and continued care according to criteria and payer requirements.

The role ensures documentation supports care and secures required authorizations while promoting quality outcomes and resource optimization. Qualified candidates will hold a Bachelor of Science in Nursing, an active New Jersey RN license, and 3+ years of nursing

Qualifications

• BSN required or higher
• RN license valid in New Jersey
• 3+ years of nursing experience; preference for review/case management

Skills

Nursing experience

Case management

Licensed RN

Education

Bachelor of Science in Nursing

CCM certification

Job description

St. Joseph’s Health in New Jersey seeks a Utilization Management Registered Nurse (UM RN) to evaluate medical necessity, appropriateness, and efficiency of inpatient and continued care according to criteria and payer requirements.

The role ensures documentation supports care and secures required authorizations while promoting quality outcomes and resource optimization. Qualified candidates will hold a Bachelor of Science in Nursing, an active New Jersey RN license, and 3+ years of nursing