Utilization Review RN — Part-Time, 20 hrs/wk

Capital Health (US); Hopewell (NJ); On-site; USD 41,000 - 107,000; Full time

Benefits offered by this job

Medical Plan

Dental Plan

Vision Plan

Paid Time Off

Job summary

Capital Health in New Jersey is seeking an experienced Utilization Management RN to support quality, timely care and cost effective outcomes. You will review admissions, coordinate with payers, and collaborate with the care team to optimize patient flow.

Requirements include an Associate degree in nursing and NJ RN licensure, with 5 years of clinical nursing and 3 years in utilization or discharge planning. This is a full-time, on-site role with comprehensive benefits.

Qualifications

• Associate degree in nursing is required.
• Current NJ RN license is required.
• CPHQ/CCM/CPUR credentials preferred.

Responsibilities

• Perform chart reviews to assess quality and timeliness of patient care.
• Conduct admission reviews for Medicare/Medicaid and other payers.
• Identify strategies to reduce length of stay and resource use.

Skills

Quality management

Microsoft Office

EMR

Education

Associate degree in nursing

CPHQ/CCM/CPUR preferred

Tools

Utilization software

Job description

Capital Health in New Jersey is seeking an experienced Utilization Management RN to support quality, timely care and cost effective outcomes. You will review admissions, coordinate with payers, and collaborate with the care team to optimize patient flow.

Requirements include an Associate degree in nursing and NJ RN licensure, with 5 years of clinical nursing and 3 years in utilization or discharge planning. This is a full-time, on-site role with comprehensive benefits.