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.
$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...SuggestedPermanent employmentTemporary workMonday to Friday$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...SuggestedHourly payFull timeFor contractorsRemote workWork from homeRelocationHome officeWeekend work$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,...SuggestedContract workRemote workWeekend work- ...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...SuggestedImmediate startRemote workDay shift
$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...SuggestedTemporary workWork at officeRemote workMonday to FridayFlexible hours$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$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 timeTemporary workWork experience placementShift work- ...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
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- ...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
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$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 timeContract workShift workNight shiftWeekend work$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 timeContract workShift work$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 payWeekly payFull timeContract workWork experience placementWork at officeFlexible hoursShift work$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 incomeFull timeContract workTemporary workLocal areaShift work- ...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 timeRelocation packageAfternoon shift
- ...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 timeRelocation package
$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 timeContract workShift work$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 paidFull timeContract workFlexible hoursShift workNight shiftWeekend work$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 payDaily paidFull timeContract workFlexible hoursShift workNight shiftWeekend work$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 timeContract workShift work$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 employmentFull timeContract workTemporary workShift work$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 incomeFull timeContract workTemporary workShift work$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 payWeekly payFull timeContract workWork experience placementShift work$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 timeContract workShift workNight shiftWeekend work$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 paidFull timeContract workLocumReliefLocal areaShift workNight shift$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 timeContract workShift workWeekend work$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 timeContract workLocal areaImmediate startShift work$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 timeContract workReliefLocal areaShift workNight shift$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 paidWeekend workWeekday work
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