RN - Utilization Review

$2,778 per month

NYC Health+Hospitals/North Central Bronx Hospital - RightSourcing

Details

Client Name
NYC Health+Hospitals/North Central Bronx Hospital - RightSourcing

Job Type
Travel

Offering
Nursing

Profession
RN

Specialty
Utilization Review

Job ID
38293182

Job Title
RN - Utilization Review

Weekly Pay
$2778.0

Shift Details

Shift
8a-4p

Scheduled Hours
40

Job Order Details

Start Date
10/19/2026

End Date
12/14/2026

Duration
8 Week(s)

Job Description

About the Position
Specialty: RN - Utilization Review
Experience: 2+ years of experience in utilization review, case management, or acute care nursing
License: Active State or Compact RN License
Certifications: BLS - AHA; Certified Case Manager (CCM) preferred
Must-Have: Strong understanding of insurance guidelines, medical necessity criteria (e.g., InterQual or MCG), and discharge planning

Description: The Utilization Review RN is responsible for reviewing medical records to determine the appropriateness and medical necessity of hospital admissions and continued stays. The nurse collaborates with providers, insurance companies, and case managers to ensure compliance with coverage guidelines and supports optimal patient outcomes while managing healthcare costs.

Requirements

Required for Onboarding:

Active RN License
BLS

Client Details

City
Bronx

State
NY

Zip Code
10467

Apply

Vacancy posted 4 days ago

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