Registered Nurse - Utilization Review - RNUR 0615 AR#01

Job Description

Job Description

Job Title: Registered Nurse – Utilization Review (RN-UR)

Location: Syracuse, NY 13210
Schedule: Day Shift
Duration: 14 Weeks

• Local Candidates: $2,000 – $2,300 per week
• Traveler Candidates: $2,500 – $2,800 per week

We are seeking an experienced Utilization Review Registered Nurse (RN) to support a fast-paced healthcare setting. This role involves reviewing patient cases across multiple levels of care to ensure medical necessity, appropriate resource utilization, and compliance with payer requirements.

• Perform a combination of Admission, Continued Stay, and Discharge reviews with a minimum productivity of 25 reviews per day
• Review cases across Medical, Surgical, and Behavioral Health populations (pediatric through adult)
• Evaluate patient care levels including:
  • Inpatient
  • Outpatient
  • Observation
  • Emergency
• Work with multiple payer types, including:
  • Medicare & Managed Medicare
  • Medicaid & Managed Medicaid
  • Commercial Insurance
  • Workers’ Compensation & No-Fault
• Ensure accurate order and class alignment within the Epic EHR system throughout the patient stay
• Apply InterQual criteria for medical necessity and level-of-care determinations
• Utilize payer portals for authorization and review processes

• Active, unrestricted New York State Registered Nurse (RN) license
• BLS certification (AHA required)
• Minimum 1.5 years of recent clinical experience
• Prior experience in acute care or hospital-based Utilization Review

• Hands-on experience with Epic Electronic Health Record (EHR)
• Familiarity with InterQual first-level screening
• Experience navigating and working with payer portals
• Strong analytical, documentation, and communication skills

For more details reach at View email address on ziprecruiter.com or Call / Text at View phone number on ziprecruiter.com .

About Navitas Healthcare, LLC: It is a Joint Commission Certified / WBENC and one of the fastest-growing healthcare staffing firms in the US providing Medical, Clinical and Non-Clinical services to numerous hospitals. We offer the most competitive pay for every position we cater. We understand this is a partnership. You will not be blindsided, and your salary will be discussed upfront.