Utilization Review Nurse

Rangam; Pennington (NJ); Remote; USD 60,000 - 80,000; Full time

Benefits offered by this job

Mileage reimbursement

Job summary

A global talent management firm is seeking a Utilization Review Nurse for a contract role based in Pennington, NJ. The role involves performing utilization management, reviewing medical records, and coordinating discharge planning. Candidates must have an active RN license in New Jersey, strong analytical skills, and the ability to work independently. This entry-level position offers reimbursement for mileage travelled during fieldwork.

Qualifications

• Experience in Utilization Management or Prior Authorization is required.
• Experience in a healthcare or clinical setting is preferred.
• Strong communication skills are essential.

Responsibilities

• Perform utilization management by reviewing medical records.
• Coordinate discharge planning and work with healthcare providers.
• Ensure patients receive appropriate care while optimizing resources.

Skills

Utilization Management

Case Management

Medical Records

Analytical Skills

Critical Thinking

Written Communication

Verbal Communication

Independent Work

Education

Registered Nurse (RN) license

Job description

Company Description

Rangam is a global, innovative Total Talent management firm dedicated to accelerating meaningful employment for everyone. As a minority-, woman-, and disability-owned firm, Rangam has over 25 years of experience in promoting sustainable and inclusive talent programs. Our mission is to connect talent, communities, and employers through empathy, integrity, agility, inclusion, and innovation. We believe that all minds provide value and can contribute meaningfully.

Note: New Jersey RN Active License is required.

Role Description

This is a Field work contract role for a Utilization Review Nurse. The Utilization Review Nurse will be responsible for performing utilization management, reviewing medical records, coordinating discharge planning, and working collaboratively with healthcare providers. The nurse will ensure that patients receive appropriate care while optimizing the use of healthcare resources.

Who can apply

• Experience in Utilization Management/Prior Authorization/Case Review
• Nurses with active RN license in NJ.
• A valid Driver License is needed.
• Worker will do first two weeks of training.
• This is a Field Based position. This position will cover Essex and Bergen counties.
• Reimbursement for mileage is available.

Qualifications

• Utilization Management and Medical Records skills
• Case Management
• Background in Medicine and Nursing
• Strong analytical and critical thinking skills
• Excellent written and verbal communication skills
• Ability to work independently and remotely
• Experience in a healthcare or clinical setting is a plus
• Registered Nurse (RN) license required

Seniority Level

Entry level

Employment Type

Contract

Job Function

Health Care Provider

Industries

Staffing and Recruiting

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Location: Pennington, NJ.

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