Sign up to access all features of our service.
  • Job search
  • Favorites
  • Create a CV
    New
  • Salaries
  • Subscriptions

Utilization Review Nurse

PRIDE Health

RN - Utilization ReviewLocation: New York, NY 10004Contract: 13 weeksSchedule: 3 Days/Week | 11.5 Hours/DayShift Time: 9:00 AM-5:00 PMGuaranteed Hours per Week: 34.5Pay: Local: $60 to $63/hourly on W2Travel: $2300 to $2500/ Gross weeklyIf the following job requirements and experience match your skills, please ensure you apply promptly.Job SummaryPride Health is hiring an experienced RN - Utilization Review for a contract opportunity in New York, NY. The ideal candidate will have experience in non-acute utilization review, along with strong community nursing and quality improvement skills.ResponsibilitiesPerform utilization review activities in a non-acute healthcare setting.Apply nursing knowledge to support appropriate utilization of healthcare services.Participate in community nursing-related activities.Support quality improvement initiatives.Review clinical information and contribute to appropriate care planning and service utilization.Maintain accurate and timely documentation in accordance with applicable requirements.Requirements1 year of non-acute utilization review experience – required.RN experience preferred.Active New York State RN License required.Primary Source Verification required.AHA BLS certification required.Bachelor's Degree required.Strong community nursing skills.Experience with quality improvement.Ability to read, write, and speak English.Preferred QualificationsExperience in community or home-based healthcare settings.Experience with utilization review and care coordination.Strong clinical documentation and communication skills.Experience supporting quality improvement initiatives.Pride-Health offers eligible employee's 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, home insurance, pet insurance and employee discounts with preferred vendors.Equal Employment OpportunityPride-Health is an equal opportunity employer. We do not discriminate on the basis of the race, religious creed, color, national origin, ancestry, physical disability, mental disability, reproductive health decision making, medical condition, genetic information, marital status, sex, gender, gender identity, gender expression, age, sexual orientation, veteran or military status, or any other characteristic protected by applicable federal, state, or local law.Fair Chance EmploymentPride-Health is a Fair Chance employer. We consider all qualified applicants, including those with criminal histories, in a manner consistent with applicable state and local Fair Chance laws and ordinances, including, the California Fair Chance Act and all applicable local Fair Chance ordinances.AccommodationsWe are committed to providing reasonable accommodations to applicants and employees with disabilities. xhyhwjd If you require a reasonable accommodation to participate in the application or interview process, or to perform the essential functions of this role, please contact us.Only applicable for San Francisco Candidates: Under the San Francisco Lactation in the Workplace Ordinance, we will provide written notice of lactation accommodation rights, and this notice will automatically be given upon hiring, any inquiry of parental leave or lactation accommodation.

Vacancy posted 6 days ago
Similar jobs that could be interesting for youBased on the Utilization Review Nurse in New York, NY vacancy
  • $50 - $55 per hour

     ...RN – Utilization Management New York, NY – Midtown $50–$55/hour Monday–Friday, 9:0...  ...they’re looking for: ~ NYS Registered Nurse with a Bachelor’s degree ~3+ years of...  ...experience, including medical necessity reviews, prior authorizations, appeals, and benefit... 
    Suggested
    Permanent employment
    Temporary work
    Monday to Friday

    Green Key Resources

    New York, NY
    1 day ago
  • $35 - $45.94 per hour

     ...Hi, we're Oscar. We're hiring a Utilization Review Nurse to join our Utilization Review team. About the role: You will perform frequent case reviews, check medical records and speak with care providers regarding treatment as needed. You will make recommendations regarding... 
    Suggested
    Hourly pay
    Full time
    For contractors
    Remote work
    Work from home
    Relocation
    Home office
    Weekend work

    Oscar Health

    New York, NY
    4 days ago
  • $35 - $45 per hour

     ...Base pay range $35.00/hr - $45.00/hr Direct message the job poster from IntePros IntePros is seeking a Remote Utilization Review Nurse serves as a key clinical liaison, coordinating resources and services to meet patients’ needs while ensuring compliance with federal,... 
    Suggested
    Contract work
    Remote work
    Weekend work

    IntePros

    New York, NY
    4 days ago
  •  ...Currently seeking a Utilization Management RN . Please see details and qualifications below...  ...Must have an active PA license or a Nurse Licensure Compact to include PA. ** Minimum...  ...conditions through medical record review to determine medical necessity for services... 
    Suggested
    Immediate start
    Remote work
    Day shift

    The Judge Group, LLC

    New York, NY
    2 days ago
  • $57.24k - $62.18k

     ...Nurses – are you looking for a change? Want to work no nights, no weekends, and no holidays...  ...ROLE DESCRIPTION: This individual will utilize clinical knowledge and communication skills...  ...will defer decision to a second level reviewer. This individual interfaces with case managers... 
    Suggested
    Temporary work
    Work at office
    Remote work
    Monday to Friday
    Flexible hours

    Hines Associates Ltd.

    New York, NY
    2 days ago
  • $85k - $95k

     ...concurrent, retrospective, and pre-admission reviews to determine medical necessity and level...  ...documentation to ensure appropriate utilization of services according to established...  ...Requirements: Minimum 2-3 years of clinical nursing experience (medical-surgical or case... 
    Shift work

    Community Memorial Health System

    New York, NY
    5 days ago
  • $90k - $151k

     ...personnel and patient care status, issues, and information. Supervise all documentation of patient information. Coordinate Charge Nurse duties with Staff RNs acting in the relief charge capacity. Patient Care: Assess daily patient care needs and develop and... 
    Full time
    Temporary work
    Work experience placement
    Shift work

    Fresenius Medical Care

    New York, NY
    12 hours ago
  •  ...supportive workplace for our team members. At Sunrise Senior Living, we champion the quality of life for all seniors. As a Wellness Nurse (RN), you oversee resident health, support clinical systems and ensure high-quality, compliant care delivery. What You’ll Do: •... 
    Part time

    Dignity Home Care, Inc

    New York, NY
    3 days ago
  •  ...York area. Our range of health services include home care, hospice and palliative care for adults and children, rehabilitation and nursing care at Menorah and Isabella Centers, and the research based MJHS Institute for Innovation and Palliative Care. We also offer Elderplan... 
    Full time
    Work at office
    Relocation package

    MJHS

    New York, NY
    3 days ago
  •  ...workplace for our team members. At Sunrise Senior Living, we champion the quality of life for all seniors. As an LPN Medication Nurse, you provide licensed nursing support through safe medication administration, health monitoring, and accurate clinical documentation... 
    Full time

    Dignity Home Care, Inc

    New York, NY
    5 days ago
  •  ...About Gifted Healthcare Gifted Healthcare is an award-winning travel nursing agency that partners with premier healthcare facilities across the United States. We believe in the power of one person to make a meaningful difference in patient care. Our mission is to help... 
    Temporary work

    Gifted Healthcare

    New York, NY
    1 day ago
  • $2,301 per week

     ...Registered Nurse (RN) | Progressive Care Unit Location: New York City, NY Agency: Cynet Health Pay: $2,301 per week Shift Information: 3 days Contract Duration: 13 Weeks Start Date: 11/16/2026 About the Position Job Title: Registered... 
    Full time
    Contract work
    Shift work
    Night shift
    Weekend work

    Cynet Health

    New York, NY
    1 day ago
  • $2,428 per week

     ...Registered Nurse (RN) | Neuro Location: New York, NY Agency: Prime Staffing Pay: $2,428 per week Shift Information: Days - 5 days x 8 hours Contract Duration: 13 Weeks Start Date: 11/30/2026 About the Position About the Position Specialty... 
    Full time
    Contract work
    Shift work

    Prime Staffing

    New York, NY
    1 day ago
  • $1,448 per week

     ...Registered Nurse (RN) | Progressive Care Unit Location: New York, NY Agency: OneStaff Medical Pay: $1,448 per week Shift Information: Rotating - 5 days Contract Duration: 13 Weeks Start Date: 11/16/2026 About the Position TravelNurseSource... 
    Hourly pay
    Weekly pay
    Full time
    Contract work
    Work experience placement
    Work at office
    Flexible hours
    Shift work

    TravelNurseSource

    New York, NY
    1 day ago
  • $2,267 - $2,383 per week

     ...Registered Nurse (RN) | Progressive Care Unit Location: New York, NY Agency: AMN Healthcare Pay: $2,267 to $2,383 per week Contract Duration: 13 Weeks Start Date: 10/26/2026 About the Position TravelNurseSource is working with AMN Healthcare... 
    Extra income
    Full time
    Contract work
    Temporary work
    Local area
    Shift work

    TravelNurseSource

    New York, NY
    1 day ago
  •  ...As an LPN on our team as the Menorah Center for Rehabilitation & Nursing Care , you will be responsible for delivering nursing care to resident/patients in our long-term care facility under the supervision of the Nurse Manager, Nurse Coordinator and/or RN. Qualifications... 
    Part time
    Relocation package
    Afternoon shift

    MJHS

    New York, NY
    1 day ago
  •  ...York area. Our range of health services include home care, hospice and palliative care for adults and children, rehabilitation and nursing care at Menorah, and the research based MJHS Institute for Innovation and Palliative Care. We also offer Elderplan/HomeFirst: health... 
    Full time
    Relocation package

    MJHS

    New York, NY
    5 days ago
  • $2,312 per week

     ...Registered Nurse (RN) | Postpartum Location: New York, NY Agency: Triage Staffing Pay: $2,312 per week Shift Information: Days - 3 days x 12 hours Contract Duration: 13 Weeks Start Date: 10/26/2026 About the Position Travel Nursing:... 
    Full time
    Contract work
    Shift work

    Triage Staffing

    New York, NY
    1 day ago
  • $699 - $781 per day

     ...Registered Nurse (RN) | Progressive Care Unit Location: New York, NY Agency: job.com Pay: $699 to $781 per day Shift Information: Nights - 3 days x 10 hours Contract Duration: 13 Weeks Start Date: 10/15/2026 About the Position Sample... 
    Daily paid
    Full time
    Contract work
    Flexible hours
    Shift work
    Night shift
    Weekend work

    job.com

    New York, NY
    10 days ago
  • $699 - $781 per day

     ...Registered Nurse (RN) | Progressive Care Unit Location: New York, NY Agency: job.com Pay: $699 to $781 per day Shift Information: Nights - 3 days x 10 hours Contract Duration: 13 Weeks Start Date: 10/15/2026 About the Position TravelNurseSource... 
    Weekly pay
    Daily paid
    Full time
    Contract work
    Flexible hours
    Shift work
    Night shift
    Weekend work

    TravelNurseSource

    New York, NY
    10 days ago
  • $1,619 per week

     ...Registered Nurse (RN) | Neuro Location: New York City, NY Agency: Cynet Health...  ...evidence. Engages in peer and institutional review processes. Collaborates with...  ...with management to ensure resources are utilized appropriately. Escalates material or staffing... 
    Full time
    Contract work
    Shift work

    Cynet Health

    New York, NY
    1 day ago
  • $2,428 per week

     ...Registered Nurse (RN) | Neuro Location: New York, NY Agency: Prime Staffing Pay: $2,428 per week Shift Information...  ...perfect fit for both our clients and candidates. Prime Staffing utilizes a unique matchmaking approach, providing the most qualified... 
    Permanent employment
    Full time
    Contract work
    Temporary work
    Shift work

    TravelNurseSource

    New York, NY
    1 day ago
  • $2,267 - $2,383 per week

     ...Registered Nurse (RN) | Progressive Care Unit Location: New York, NY Agency: AMN Healthcare Pay: $2,267 to $2,383 per week Contract Duration: 13 Weeks Start Date: 11/9/2026 About the Position Job Description & Requirements Registered Nurse... 
    Extra income
    Full time
    Contract work
    Temporary work
    Shift work

    AMN Healthcare

    New York, NY
    1 day ago
  • $1,448 per week

     ...Registered Nurse (RN) | Progressive Care Unit Location: New York, NY Agency: OneStaff Medical Pay: $1,448 per week Shift Information: Rotating - 5 days Contract Duration: 13 Weeks Start Date: 11/16/2026 About the Position We. Are. OneStaff... 
    Hourly pay
    Weekly pay
    Full time
    Contract work
    Work experience placement
    Shift work

    OneStaff Medical

    New York, NY
    1 day ago
  • $2,301 per week

     ...Registered Nurse (RN) | Progressive Care Unit Location: New York City, NY Agency: Cynet Health Pay: $2,301 per week Shift Information: 3 days Contract Duration: 13 Weeks Start Date: 11/16/2026 About the Position TravelNurseSource is... 
    Full time
    Contract work
    Shift work
    Night shift
    Weekend work

    TravelNurseSource

    New York, NY
    1 day ago
  • $2,276 per week

     ...Registered Nurse (RN) | Progressive Care Unit Location: New York, NY Agency: PRN Healthcare Pay: $2,276 per week Shift Information: Nights - 3 days x 12 hours Contract Duration: 13 Weeks Start Date: 11/2/2026 About the Position TravelNurseSource... 
    Daily paid
    Full time
    Contract work
    Locum
    Relief
    Local area
    Shift work
    Night shift

    TravelNurseSource

    New York, NY
    1 day ago
  • $3,237 per week

     ...Registered Nurse (RN) | Postpartum Location: New York City, NY Agency: Cynet Health Pay: $3,237 per week Shift Information: 4 days Contract Duration: 13 Weeks Start Date: 10/26/2026 About the Position TravelNurseSource is working with... 
    Full time
    Contract work
    Shift work
    Weekend work

    TravelNurseSource

    New York, NY
    1 day ago
  • $2,290 per week

     ...Registered Nurse (RN) | Postpartum Location: New York, NY Agency: FlexCare Pay: $2,290 per week Shift Information: Days - 3 days x 12 hours Contract Duration: 13 Weeks Start Date: ASAP About the Position Position Details Profession... 
    Full time
    Contract work
    Local area
    Immediate start
    Shift work

    FlexCare

    New York, NY
    1 day ago
  • $2,276 per week

     ...Registered Nurse (RN) | Progressive Care Unit Location: New York, NY Agency: PRN Healthcare Pay: $2,276 per week Shift Information: Nights - 3 days x 12 hours Contract Duration: 13 Weeks Start Date: 11/2/2026 About the Position Your... 
    Full time
    Contract work
    Relief
    Local area
    Shift work
    Night shift

    PRN Healthcare

    New York, NY
    1 day ago
  • $55 per hour

     ...York area. Our range of health services include home care, hospice and palliative care for adults and children, rehabilitation and nursing care at Menorah, and the research based MJHS Institute for Innovation and Palliative Care. We also offer Elderplan/HomeFirst: health... 
    Daily paid
    Weekend work
    Weekday work

    MJHS

    New York, NY
    5 days ago

Do you want to receive more vacancies?

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