Utilization Review Nurse

Job Title: Registered Nurse (RN) – Case Management Location: New York, NY 10037 Start Date: April 19, 2026 Duration: 3 Months (Possible Extension Based on Performance) Schedule Shift: 9:00 AM – 5:30 PM Days Per Week: 5 Pay Rate Local RN: $65 per hour Traveler RN: $75 per hour Estimated Weekly Pay: $3,004 Position Overview We are seeking an experienced Registered Nurse (RN) – Case Management to join our healthcare team in New York. The RN Case Manager will coordinate patient care, manage resources, and ensure appropriate utilization of healthcare services while maintaining high-quality patient outcomes. Key Responsibilities Perform case management and resource management for assigned patients. Coordinate interdisciplinary care planning and discharge planning. Conduct utilization review to ensure appropriate level of care and services. Collaborate with physicians, social workers, and healthcare teams to optimize patient outcomes. Monitor patient progress and adjust care plans as necessary. Ensure compliance with hospital policies, regulatory requirements, and documentation standards. Required Qualifications Active New York State Registered Nurse (RN) License AHA BLS (Basic Life Support) Certification AHA ACLS (Advanced Cardiovascular Life Support) Certification Minimum 2 years of experience in Case Management / Resource Management / Utilization Management Preferred Skills Strong clinical assessment and decision-making skills Excellent communication and interdisciplinary coordination Experience with discharge planning and patient advocacy Benefits Pride Health offers eligible employees comprehensive healthcare coverage (medical, dental, and vision plans), supplemental coverage (accident insurance, critical illness insurance, and hospital indemnity), 401(k) retirement savings, life & disability insurance, an employee assistance program, legal support, auto and home insurance, pet insurance, and employee discounts with preferred vendors. #J-18808-Ljbffr Pride Health