Utilization Management RN — Optimize Care & Outcomes

Capital Health (US); Pennington (NJ); On-site; USD 39,000 - 51,000; Full 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 (US) is looking for a qualified Registered Nurse for their Utilization Management team in Pennington, NJ. This role involves conducting utilization reviews, assessing patient treatment plans, and collaborating with the healthcare team to ensure quality care.

Candidates should have at least five years of clinical nursing experience and three years in quality management or utilization review. Competitive compensation with benefits is offered.

Qualifications

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

Responsibilities

• Review patient care quality and appropriateness.
• Conduct admission reviews for various payers.
• Engage in continued stay utilization reviews.

Skills

Basic computer skills

Knowledge of Microsoft Office

Familiarity with UR software

Familiarity with EMR

Interpretive skills

Education

Associate's degree in nursing

Job description

Capital Health (US) is looking for a qualified Registered Nurse for their Utilization Management team in Pennington, NJ. This role involves conducting utilization reviews, assessing patient treatment plans, and collaborating with the healthcare team to ensure quality care.

Candidates should have at least five years of clinical nursing experience and three years in quality management or utilization review. Competitive compensation with benefits is offered.