ED Utilization Reviewer RN - Real-Time Care & Compliance
$40 - $70.4 per hourDirect Jobs
Direct Jobs is looking for a Full-Time Utilization Reviewer (RN) to support Emergency Department operations at Overlook Medical Center. Responsibilities include conducting medical necessity reviews and level-of-care determinations, ensuring regulatory compliance and optimal patient throughput. The ideal candidate will have a strong clinical background, excellent assessment skills, and be a licensed RN in New Jersey. The position offers a competitive salary range from $40.00 to $70.40 per hour. #J-18808-Ljbffr
Vacancy posted 19 hours ago
Similar jobs that could be interesting for youBased on the ED Utilization Reviewer RN - Real-Time Care & Compliance in Convent Station, NJ vacancy
$40 - $70.4 per hour
Atlantic Health System is seeking a Full-Time Utilization Reviewer RN to support Emergency Department operations at Overlook Medical Center. This role involves conducting medical necessity reviews and serving as a liaison between clinical teams and utilization management...SuggestedHourly payFull timeDay shift- ...Job Description Utilization Reviewer (RN) - Emergency Department... ...Medical Center Full-Time | Days | Monday-... ...responsible for conducting real-time medical... ...reviews and level-of-care determinations for patients... ...assignment, regulatory compliance, and optimal patient...SuggestedHourly payFull timeTemporary workPart timeFor contractorsFor subcontractorMonday to FridayFlexible hoursShift workNight shift
- ...Job Description Utilization Reviewer (RN) - Emergency Department... ...Medical Center Full-Time | Days | Monday-... ...responsible for conducting real-time medical... ...reviews and level-of-care determinations for patients... ...assignment, regulatory compliance, and optimal patient...SuggestedHourly payFull timeTemporary workPart timeFor contractorsFor subcontractorMonday to FridayFlexible hoursShift workNight shift
- ...Atlantic Health seeks a Full-Time Utilization Reviewer RN in Morristown, New Jersey, to support Emergency Department... .... This role involves conducting real-time medical necessity reviews and determining patient levels of care, acting as a liaison between clinical teams...SuggestedFull time
Atlantic Health Services
Convent Station, NJ19 hours ago - ...Provides direct patient care, coordinates... ...Document and maintain compliance with protocols,... ...critical thinking and time‑management skills;... ...interdisciplinary huddles. Utilize approved... ...Experience: 2–3 years in ED or acute care.... ...Licenses: Valid NJ RN license or compact...SuggestedFull timeTemporary workPart timeFor contractorsFor subcontractorFlexible hoursAfternoon shift
Stryker
Convent Station, NJ12 hours ago - ...Provides direct patient care, coordinates treatment plans... ...adverse effects in a timely manner. Assess patient... ...support coordinated care. Utilize approved clinical... ...Experience 2-3 years of ED Experience or Acute Care... ...pediatrics. Licenses Valid NJ RN license or compact...Full timeTemporary workPart timeFor contractorsFor subcontractorFlexible hours
- ...Responsibilities: Provides timely review of SOC, ROC and... ...Recertification documentation. Utilizes CRC assessment tool to... ...reasons for home care through thorough chart... ...regarding staff non‑compliance. Identifies and reports... ...: Current NJ RN or PT License Three Years...Hourly payFull timeTemporary workPart timeFor contractorsFor subcontractorFlexible hoursShift work
- ...& Responsibilities: Provides timely review of SOC, ROC and Recertification documentation. Utilizes CRC assessment tool to provide... ...and secondary reasons for home care through thorough chart review.... ...manager regarding staff non-compliance. Identifies and reports trends...Full time
- ...will have the ability to utilize the nursing process to... ...evaluate the plan of care for patients served. Through... ..., auditing, developing compliance strategies for and... ...hires, including the AHS ED Residency Program.... ...week or above for full-time and part-time team members...Full timeTemporary workPart timeFor contractorsFor subcontractorFlexible hoursNight shift
- ...will have the ability to utilize the nursing process to... ...evaluate the plan of care for patients served Through... ..., auditing, developing compliance strategies for and... ...hires, including the AHS ED Residency Program.... ...week or above for full-time and part-time team members...Hourly payFull timeTemporary workPart timeFor contractorsFor subcontractorFlexible hoursShift workNight shift
- ...Accountabilities Maintains accurate, complete health care records and reports. Administers... ...BSN preferred. 2–3 years of ED or Acute Care Experience required. BLS required... ...Hourly Rate): 70.40 Assignment Category: Full‑time Hours per Week: 36 Primary Shift: Nights Salary...Hourly payFull timeFor contractorsFor subcontractorShift workNight shift
Society of Gastroenterology Nurses and Associates
Convent Station, NJ12 hours ago - ...accurate, complete health care records and reports.... ...Experience: 2 -3 years of ED Experience or Acute Care... ...Licenses: Valid NJ RN license or compact license... ...delivered at the right time, at the right place, and... ...Note: In Compliance with the NJ Pay Transparency...Hourly payFull timeTemporary workPart timeFor contractorsFor subcontractorFlexible hoursNight shift
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Atlantic Health System
Morristown, NJ2 days ago - ...evaluate patient care. Manages patient teaching... ..., privacy, and timely response to... ...organizational goals. Utilizes the nursing... ...patient outcomes by reviewing open gaps of care... ...within the scope of RN license.... ...Insurance Note: In Compliance with the NJ Pay Transparency...Hourly payFull timeTemporary workPart timeFor contractorsFor subcontractorFlexible hours
Atlantic Health System
Morristown, NJ3 days ago - ...Accountabilities Maintains accurate, complete health care records and reports. Administers... ...(22.5 hours per week or above for full‑time and part‑time team members) Life & AD&D... ...Legal Insurance Pay Transparency Note: In Compliance with the NJ Pay Transparency Act (effective...Hourly payFull timeTemporary workPart timeFor contractorsFor subcontractorFlexible hours
New Hampshire Nurse Practitioner Association
Convent Station, NJ3 days ago - ..., consults with healthcare providers, educates patients and more for the admitted patients in the ED. Principal Accountabilities: Maintains accurate, complete health care records and reports. Administers medications to patients and monitors them for side effects and reactions...Full timeNight shift
$48 per hour
Hospital Appeals Specialist (RN), Full Time, Days,8a-4p, PFS -... ...Description Denial Review & Analysis Review payer... ...necessity, level of care, authorization, DRG downgrades... ...Regulatory & Payer Compliance: Stay current with:... ...of the following: Utilization Review Case Management...Hourly payFull timeTemporary workPart timeFor contractorsFor subcontractorFlexible hours$47.85 - $60.6 per hour
...Job Title: Registered Nurse (RN), 12.5 Specialty Float, Critical Care Location: Cooperman Barnabas Medical... ...Shift, 7P-8A, 12.5-Hour Shift, Full-Time Required to work every other weekend... ...team by communication with and utilizing resource persons and programs available...Hourly payFull timeWork experience placementLocal areaFlexible hoursShift workWeekend workAfternoon shift- ...Description The Inpatient Care Manager plays a... ...psychosocial outcomes. Utilization & Documentation Oversight... ...chart and utilization reviews to ensure appropriate level... .... Maintain accurate, timely, and comprehensive clinical... ...Current RN license in the State of...Full timeTemporary workPart timeFor contractorsFor subcontractorFlexible hours
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...Registered Nurse (RN) | Emergency Room (ER) / Trauma Location... ...the highest level of patient care possible. For clinicians... ...everything, saving them time, reducing their stress, and building... ...to clinical support to compliance. FlexCare pushes beyond...Full timeContract workImmediate startShift workNight shiftTravelNurseSource
Morristown, NJ11 days ago- ...Registered Nurse, Full Time - AMG Pediatric Endocrinology... ...members. Identifies patient care requirements by establishing... ...patient problems and needs by utilizing multidisciplinary team strategies... ...Insurance Note: In Compliance with the NJ Pay Transparency...Hourly payFull timeTemporary workPart timeFor contractorsFor subcontractorFlexible hours
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Morristown, NJ1 day ago - ...designs, coordinates, and delivers care to meet the identified needs... ..., and continuing needs utilizing SBAR while maintaining patient... ...hours per week or above for full‑time and part‑time team members)... ...and Legal Insurance Note: In Compliance with the NJ Pay Transparency...Hourly payFull timeTemporary workPart timeFor contractorsFor subcontractorFlexible hours
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Convent Station, NJ3 days ago - ...Association for Home & Hospice Care of North Carolina is seeking a full-time Registered Nurse for our Morristown, NJ location. In this role, you will be responsible for collaborating with healthcare professionals to treat and monitor patients, ensuring the highest quality...Full time
Association for Home & Hospice Care of North Carolina
Convent Station, NJ2 days ago
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