Utilization Review Nurse
Rangam Consultants Inc.
Company Description Rangam is a global, innovative Total Talent management firm dedicated to accelerating meaningful employment for everyone. As a minority-, woman-, and disability-owned firm, Rangam has over 25 years of experience in promoting sustainable and inclusive talent programs. Our mission is to connect talent, communities, and employers through empathy, integrity, agility, inclusion, and innovation. We believe that all minds provide value and can contribute meaningfully. Note: New Jersey RN Active License is required. Role Description This is a Field work contract role for a Utilization Review Nurse. The Utilization Review Nurse will be responsible for performing utilization management, reviewing medical records, coordinating discharge planning, and working collaboratively with healthcare providers. The nurse will ensure that patients receive appropriate care while optimizing the use of healthcare resources. Who can apply Experience in Utilization Management/Prior Authorization/Case Review Nurses with active RN license in NJ. A valid Driver License is needed. Worker will do first two weeks of training. This is a Field Based position. This position will cover Essex and Bergen counties. Reimbursement for mileage is available. Qualifications Utilization Management and Medical Records skills Case Management Background in Medicine and Nursing Strong analytical and critical thinking skills Excellent written and verbal communication skills Ability to work independently and remotely Experience in a healthcare or clinical setting is a plus Registered Nurse (RN) license required Seniority Level Entry level Employment Type Contract Job Function Health Care Provider Industries Staffing and Recruiting Referrals increase your chances of interviewing at Rangam by 2x. Location: Pennington, NJ. Get notified about new Utilization Review Nurse jobs in Pennington, NJ . #J-18808-Ljbffr
- ...A global talent management firm is seeking a Utilization Review Nurse for a contract role based in Pennington, NJ. The role involves performing utilization management, reviewing medical records, and coordinating discharge planning. Candidates must have an active RN license...SuggestedContract workRemote work
$70.5k - $94.4k
...the member/family among various sites to coordinate resource utilization and evaluation of services provided. Encourages member participation... ...~ Requires an associate's or bachelor's degree (or higher) in nursing and/or a health related field OR accredited diploma nursing...SuggestedLive inLocal area- ...Day Camp in Hopewell, New Jersey is looking for a RN for the 2024 summer season. 8 weeks (June 24 - August 16). Our infirmary has 2 nurses where we distribute medication, do basic triage and take care of sick or injured campers and staff. If you have children, they may...SuggestedSummer workSeasonal work
- ...Synergy HomeCare Registered Nurse Opportunity Experience the Synergy HomeCare difference, where we are united under one purpose,... ...direction to HHAs Assist with employee training as needed, utilizing your expertise as a registered nurse Establish communication...SuggestedFlexible hours
$50.44 per hour
...investments in our exceptional physicians, nurses and staff, as well as advanced technology... ...$50.44 Position Overview Reviews medical history and records, addressing any... ...plan for adjusting staffing patterns. Utilizes non-productive time efficiently and has not...SuggestedTemporary work- ...Registered Nurse This position is responsible for the medical policy determination... ...Policy to ensure appropriate and efficient utilization of benefits. Performs duties as assigned... ...requests, claims pending for medical review and appeal inquiries. Prepares cases for...
- ...Role Title: Registered Nurse (RN) Location: Hopewell, NJ 08560 Contract Duration: Two (2) Years Working Hours: 35 hours per week (ONLY) Work Type: Onsite (Correctional Facility) The Registered Nurse (RN) provides direct nursing care to incarcerated...Hourly payFull timeContract work
$39.4 - $51.47 per hour
...investments in our exceptional physicians, nurses and staff, as well as advanced... ...Position Overview Performs chart review of identified patients to identify quality... ...clinical information to conduct continued stay utilization review activities with payers on a daily...Full timeTemporary workPart timeWork at officeLocal areaImmediate startFlexible hoursNight shiftWeekend workDay shift$34 - $39 per hour
...Description Pediatric Home Care - Make a Difference One Family at a Time! Our Mercer County Office is interested in a Registered Nurse, RN with a passion for Pediatric Home Care to join our Skilled Nursing team. We believe our clients and their families deserve the...Hourly payDaily paidFull timePart timeReliefWork at officeLocal areaFlexible hoursShift workNight shift$2,268 per week
...GHR Healthcare is seeking a travel nurse RN Med Surg / Telemetry for a travel nursing job in Trenton, New Jersey. Job Description & Requirements Specialty: Med Surg / Telemetry Discipline: RN Duration: 13 weeks 36 hours per week Shift: 12 hours, nights Employment Type:...Shift workNight shift$43.9 - $59.69 per hour
...care with significant investments in our exceptional physicians, nurses and staff, as well as advanced technology. Capital Health is a... ...Assesses how much information a patient wants and needs while utilizing a vocabulary and approach that enables the patient to successfully...Full timeTemporary workPart timeFlexible hoursShift workNight shiftWeekend work$43.9 - $59.69 per hour
...investments in our exceptional physicians, nurses and staff, as well as advanced... ...unique and individualized comfort measures utilizing intuitive and innovative approaches which... ...ability to tolerate the diagnostic exam. Reviews medical history and records addresses any...Full timeTemporary workPart time$2,250 per week
...GHR Healthcare is seeking a travel nurse RN Med Psych for a travel nursing job in Pennington, New Jersey. Job Description & Requirements ~ Specialty: Med Psych ~ Discipline: RN ~ Start Date: 06/08/2026 ~ Duration: 13 weeks ~36 hours per week...Contract workShift workNight shiftWeekend work$2,288 per week
...GHR Healthcare - Travel Division is seeking a travel nurse RN Med Surg / Telemetry for a travel nursing job in Pennington, New Jersey... ...transparent Travel Med Surg / Telemetry Salary information and unbiased reviews from leading Travel Nurse Agencies across the United States,...Shift workNight shift$2,246 per month
...Details Client Name Capital Health Medical Center - Hopewell Job Type Travel Offering Nursing Profession RN Specialty NICU Job ID 34072213 Job Title RN - NICU Weekly Pay $2246.0...Weekly payShift workNight shift$79.1k - $105.95k
...outcomes for appropriateness and effectiveness. Advocates for the member/family among various sites to coordinate resource utilization and evaluation of services provided. Encourages member participation and compliance in the program. Documents accurately...Live inLocal area$79.1k - $105.95k
...for performing RN duties for the Primary Nurse population using established guidelines... ...among various sites to coordinate resource utilization and evaluation of services provided.... ...cases during audits conducted by external review organizations. Performs other...Live inLocal area- ...Registered Nurse(RN) - Part Time or Full Time Experience the SYNERGY HomeCare difference, where we are united under one purpose,... ...direction to HHA's Assist with employee training as needed, utilizing your expertise as a registered nurse Establish communication...Full timePart timeFlexible hours
- ...RN initial and continued stay inpatient reviews using established guidelines to ensure appropriate... ...initial and continued stay reviews utilizing MCG or Medical Policy Criteria. •... ...-s or bachelor-s degree (or higher) in nursing and/or a health related field OR accredited...Local areaWeekend work
$49.41 per hour
...care with significant investments in our exceptional physicians, nurses and staff, as well as advanced technology. Capital Health is a... ...Assesses how much information a patient wants and needs while utilizing a vocabulary and approach that enables the patient to successfully...Daily paidFull timeTemporary workPart timeRemote workNight shift$58 - $60 per hour
...GHR Healthcare - Travel Division is seeking a local contract nurse RN Med Surg / Telemetry for a local contract nursing job in Trenton, New Jersey. Job Description & Requirements Specialty: Med Surg / Telemetry Discipline: RN Start Date: 06/15/2026 Duration: 8 weeks 36...Hourly payContract workLocal areaShift workNight shift$105 per hour
...that we serve. Our RN brings care and compassion to people need. Grace Community Care and Homes is seeking Per Diem Registered Nurses (RN) to conduct community assessments for a well-established licensed Homecare agency serving New Jersey. Nurses in all counties are...Hourly payDaily paidContract workPart timeReliefImmediate startFlexible hours$70.5k - $94.4k
...service, and outcomes for appropriateness and effectiveness.Advocates for the member/family among various sites to coordinate resource utilization and evaluation of services provided.Encourages member participation and compliance in the case/disease management program efforts...Live inLocal areaWeekend workDay shift2 days per week- Capital Health (US) is seeking a dedicated nursing professional to deliver quality patient care in Hopewell, New Jersey. The role emphasizes effective communication and collaboration with healthcare teams to enhance patient safety and satisfaction. Responsibilities include...Temporary work
$47.68 - $63.56 per hour
...care with significant investments in our exceptional physicians, nurses and staff, as well as advanced technology. Capital Health is a... ...of the Assistant Nurse Manger, Nurse Manager, and Director. Utilizes the nursing process to create a care plan for each patient based...Full timeTemporary workPart timeFlexible hours- ...audit projects. The position performs and finalizes audits related to per diem billing, bill verification, DRG validation (utilization review audits), and credit balances. Additionally, the role provides guidance and education to stakeholders regarding ICD-10-CM...Daily paidContract work
$1,809 per week
...Registered Nurse (RN) | Other Location: Pennington, NJ Agency: Infojini Healthcare Pay: $1,809 per week Shift Information: Days - 5 days x 8 hours Contract Duration: 3 Months Start Date: ASAP About the Position...Daily paidPermanent employmentContract workTemporary workImmediate startFlexible hoursShift work$34.9 - $45.83 per hour
...care with significant investments in our exceptional physicians, nurses and staff, as well as advanced technology. Capital Health is a... ...procedures to patient. Obtains and records patient history. Reviews laboratory and other test results daily and prioritizes them...Full timeTemporary workPart timeWork at officeFlexible hours$64.73k
...Position Type: Pupil Services Positions/School Nurse Date Posted: 4/13/2026 Location: Toll Gate Grammar School Date... .... The information contained in this job description is reviewed and approved by the Board of Education and may be modified as district...Full timeContract work- ...Pension Program. LOCATION: Antheil Elementary School Ewing Public Schools announces an employment opportunity for a School Nurse for the 2026-2027 school year. New Jersey Department of Education School Nurse certification and RN License is required....Full timeWork at office
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