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

Apply

Vacancy posted 4 days ago

Similar jobs that could be interesting for youBased on the Utilization Review Nurse in Pennington, NJ vacancy

Field-Based Utilization Review Nurse, NJ (Remote Capable)
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...
Suggested
Contract work
Remote work
Rangam
Pennington, NJ
1 day ago
Nurse (Health Care)
...Capital Health (US) is seeking a dedicated Registered Nurse to join our team in Trenton, NJ. The RN will advocate for patient care, develop tailored comfort measures, and deliver high-quality support in a dynamic healthcare environment. This role involves assessing patient...
Suggested
Capital Health (US)
Ewing, NJ
2 days ago
1st/2nd/3rd Shift Homecare RN
$45 per hour
...Pediatric Registered Nurse (RN) - Day, Evening & Overnight Shifts (Trenton, NJ) Location: Trenton, NJ Setting: Pediatric Private Duty Nursing Company: Aff… Step into a role where your care truly makes a difference. Aff… is actively hiring compassionate, skilled Registered...
Suggested
Immediate start
Flexible hours
Shift work
Night shift
Day shift
Afternoon shift
Affirmed Home Care
Ewing, NJ
3 days ago
RN
RWJBarnabas Health is seeking an RN for RWJ Hamilton, Night shift, 36 hours/week, hourly pay. This role requires active NJ RN license and BLS; ASN or Diploma with BSN preferred. You will perform patient assessments, administer meds, document in EMR, and collaborate with...
Suggested
Hourly pay
Night shift
RWJBarnabas Health
Ewing, NJ
1 day ago
Registered Nurse
...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... ...associate's or bachelor's degree (or higher) in nursing and/or a health related field OR...
Suggested
Careers Integrated Resources Inc
Hopewell, NJ
3 days ago
Registered Nurse - RN Home Health (Part Time or PRN)
$37 - $46 per hour
...(3p-11p) Daily Pay! $37/hr - $46/hr At The Meadows at Lawrence and Healthcare Center, we believe that compassionate, high-quality nursing care is essential to supporting resident health, dignity, and overall well-being. Guided by our core values of Passion, Respect, and...
Daily paid
Part time
Relief
Local area
Shift work
The Meadows at Lawrence
Ewing, NJ
3 days ago
Registered Nurse
$79.1k - $105.95k
...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 in
Local area
Horizon Blue Cross Blue Shield of New Jersey
Hopewell, NJ
1 day ago
Registered Nurse (RN) (TRENTON)
$83.2k - $87.36k
...Registered Nurse (RN) Pediatric Home Health A Nursing Role Built for Focused, One-on-One Care At Care Options for Kids, pediatric home health nursing is intentionally different. Instead of juggling multiple patients, alarms, and constant interruptions, you provide...
Weekly pay
Local area
Flexible hours
Shift work
Care Options For Kids
Ewing, NJ
2 days ago
RN (Registered Nurse)
...White Glove Community Care, Inc is actively seeking RN (Registered Nurses) to join our dynamic Home Care team! We have several great Home Care cases available all over New York and New Jersey to match your preference and schedule. FIND A JOB YOU LOVE AND YOU WON'T WORK...
Full time
Part time
Immediate start
Flexible hours
Shift work
White Glove Community Care
Ewing, NJ
4 days ago
RN- Health Care (Full-Time
$42 per hour
...application due to a disability, contact this employer to ask for an accommodation or an alternative application process. REGISTERED NURSE Regular Full Time Trenton, NJ, US 30+ days ago Requisition ID: 8990 Make an Impact Every Day to Support Recovery & Change Lives...
Hourly pay
Full time
Local area
Monday to Friday
Ironwellness
Ewing, NJ
4 days ago
RN Registered Nurse
$47.68 - $63.56 per hour
...Capital Health (US) seeks a dedicated nurse to enhance patient care in Trenton, New Jersey. The role involves providing critical support during patient transport and managing complex clinical situations. Candidates should have at least one year of experience in critical...
Hourly pay
Capital Health (US)
Ewing, NJ
4 days ago
RN
...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...
Full time
Part time
Capital Health Services
Pennington, NJ
2 days ago
Registered Nurse
$79.1k - $105.95k
...Registered Nurse Primary CareHorizon Blue Cross Blue Shield of New Jersey empowers our... ...among various sites to coordinate resource utilization and evaluation of services provided.... ...cases during audits conducted by external review organizations.Performs other duties as...
Live in
Local area
Horizon Blue Cross Blue Shield of New Jersey
Hopewell, NJ
2 days ago
RN
...A healthcare organization in New Jersey is seeking a Registered Nurse for their Advanced Medical and Neurological unit. This RN will be responsible for assessing patient needs, providing high-quality care, and collaborating with interdisciplinary teams to ensure patient...
Highmark Health
Ewing, NJ
1 day ago
Registered Nurse
$79.1k - $105.95k
...activities and outcomes for appropriateness and effectiveness. Advocate for members/families among various sites to coordinate resource utilization. Encourage member participation and compliance in the program. Document accurately and comprehensively based on standards of...
Full time
IntelliResume
Hopewell, NJ
13 hours ago
Registered Nurse
...HospitalJefferson Hospital has Magnet recognition for nursing excellence, private patient rooms, and a... ...LPN scope of practice as appropriate.* Utilizes the nursing process to assess, plan,... ....* Participates in systematic peer review and obtains informal feedback regarding one...
Full time
Part time
Local area
Shift work
Highmark Health
Ewing, NJ
1 day ago
RN - Registered Nurse (Full-time Night Shift or Part-time Day Shift)
...Registered Nurse – RN We Are One Of The Largest Private Duty Nursing Companies In The Nation And Growing! At Aveanna, We’re Proud To Foster a Workplace Culture That Celebrates Diversity, Encourages Connection, And Supports Our Team Members Every Step Of The Way. Here’s...
Weekly pay
Daily paid
Full time
Part time
Relief
Local area
Flexible hours
Shift work
Night shift
Weekend work
Day shift
Aveanna Healthcare LLC
Ewing, NJ
1 day ago
Temporary RN, Registered Nurse, Full Time, Night Shift
$48.29 - $65.06 per hour
...Location: One Hamilton Health Place, Hamilton, NJ 08619 Req #: 0000257825 Category: Medical / Surgical Nursing Status: Full-Time Shift: Night Facility: RWJ Hamilton Department: Medical Unit-I Pay Range: $48.29 - $65.06 per hour Job Title: RN Location: RWJUH Hamilton Hospital...
Hourly pay
Full time
Temporary work
Work experience placement
Local area
Flexible hours
Shift work
Night shift
RWJBarnabas Health
Ewing, NJ
4 days ago
RN - Pediatrics - Home Health Care
...infusion therapy (HIT) is a method of administering infusion therapy directly in a patient's home as well as in other settings such as nursing homes, hospitals, and outpatient clinics. The versatility of HIT provides patients with more autonomy over their care. The role of...
Dynamic Access LLC
Ewing, NJ
2 days ago
Registered Nurse
$95k - $110k
...Position: RN Residential Nurse Manager – Community Homes (IDD) Compensation: $95,000 - $110,000 annually Status: Full-Time Category... ...wellness checks during home visits Monitoring chronic conditions Reviewing medications & MARs Coaching staff on simple health tasks...
Full time
Shift work
The Arc Mercer
Ewing, NJ
2 days ago
Registered Nurse, Emergency Mental Health
$42 per hour
.... Change lives. Shift: Monday-Friday 5:30a-2:00pm with alternating Saturdays 5:30a-1:00pm Pay: $42.00 Position Statement Registered Nurse (RN) The Registered Nurse plays a vital role in supporting individuals on their recovery journey through Medication-Assisted Treatment...
Work at office
Local area
Monday to Friday
Shift work
Apis Services, Inc.
Ewing, NJ
3 days ago
Home Infusion RN
...rushing from patient to patient with no time to provide quality care? It's time for a change. Join CureCare, a trusted home infusion nursing provider that has been serving patients across the Northeast for over a decade. At CureCare, we value your expertise and offer a...
Hourly pay
Daily paid
Work from home
Flexible hours
Cure Care Inc.
Pennington, NJ
2 days ago
Flex Nurse - Licensed Practical Nurse (LPN) - Nursing Home
...Health insurance 8-10 Hours Per Week on Site to Oversee the staff. Review Medication Logs, Doctor's Appointments, Follow-Ups, and Training Staff. Job Summary We are seeking a Registered Nurse to join our team. In this role, you will primarily be creating and managing...
10 hours per week
Flexible hours
NLC Support
Ewing, NJ
3 days ago
Registered Nurse (RN)
...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 pay
Full time
Contract work
Veracity
Hopewell, NJ
3 days ago
Registered Nurse
...Director Of Nursing Experience the SYNERGY HomeCare difference, where we are united under one purpose, to bring wholehearted, life... ...direction to HHA's Assist with employee training as needed, utilizing your expertise as a registered nurse Establish communication...
Flexible hours
Synergy HomeCare
Pennington, NJ
4 days ago
RN - Hospital Care Management
...Experience Requires an associate’s or bachelor’s degree (or higher) in nursing and/or a health related field OR accredited diploma nursing... ...principles. Prefers working knowledge of principles of utilization management. Prefers basic knowledge of health care contracts and...
Local area
Integrated Resources
Ewing, NJ
1 day ago
Home Infusion RN
...rushing from patient to patient with no time to provide quality care? It's time for a change. Join CureCare, a trusted home infusion nursing provider that has been serving patients across the Northeast for over a decade.At CureCare, we value your expertise and offer a...
Hourly pay
Daily paid
Flexible hours
IntelyCare
Pennington, NJ
2 days ago
Registered Nurse (RN)- Home Care - Nights
$34 - $39 per hour
...Description Job Description FALL in Love with Your Next Client at BAYADA! Our Mercer County Office is interested in a Registered Nurse, RN to join our Skilled Nursing team. We believe our clients and their families deserve the highest quality care delivered with...
Hourly pay
Daily paid
Full time
Part time
Relief
Work at office
Local area
Flexible hours
Shift work
Night shift
BAYADA Home Health Care
Lawrenceville, NJ
20 days ago
Residential Healthcare Group: Home Health Rn
...staff appreciation events Positive, supportive, welcoming team environment Electronic Onboarding for seamless onboarding experience MDS Nurse Responsibilities Include: Complete accurate and timely MDS assessments in accordance with federal and state regulations Collaborate...
Accela Healthcare
Ewing, NJ
3 days ago
Nurse - care - night - nursing
...Trenton, United States The Charge Nurse provides leadership, coordination, and supervision for nursing staff during an assigned shift... ...not guaranteed for all permanent charge nurse positions. Always review the specific benefits package offered by your prospective employer...
Permanent employment
Temporary work
Relocation package
Flexible hours
Shift work
Night shift
Afternoon shift
BL3ND STAFFING
Ewing, NJ
2 days ago

Do you want to receive more vacancies?

Subscribe and receive similar vacancies to Utilization Review Nurse. Be the first to apply!