Registered Nurse - Utilization Review / CDI
TactStaff
Job Description Job Summary:
Seeking an experienced Registered Nurse specializing in utilization review to assess non-acute cases. This role involves evaluating patient records to ensure appropriate care and resource utilization while maintaining compliance with regulatory and organizational standards. Responsibilities:
Why TactStaff?
Choosing TactStaff means partnering with a team that understands the unique demands and rewards of Utilization Review / CDI . We're here to provide you with meaningful assignments that support your professional growth while ensuring each role is a step toward achieving your long-term career goals.
Apply today to experience how TactStaff can elevate your Utilization Review / CDI career!
Seeking an experienced Registered Nurse specializing in utilization review to assess non-acute cases. This role involves evaluating patient records to ensure appropriate care and resource utilization while maintaining compliance with regulatory and organizational standards. Responsibilities:
- Analyze patient records and clinical documentation to determine appropriate utilization of healthcare services.
- Collaborate with multidisciplinary teams to review and approve care plans based on established criteria.
- Document findings and maintain accurate, detailed records to support compliance and reporting.
- Stay current with regulatory standards and best practices related to utilization review and patient care.
- Participate in ongoing training and professional development activities to enhance review skills.
- Assist in continuous quality improvement initiatives related to clinical utilization.
- Possess a valid New York State RN license.
- Have at least 1 year of non-acute utilization review experience.
- Demonstrate proficiency in primary source verification and AHA BLS certification.
- Exhibit strong clinical judgment and attention to detail.
- Communicate effectively with healthcare teams and external reviewers.
- Maintain compliance with all relevant healthcare regulations and organizational policies.
- Access to ongoing professional development opportunities.
- Supportive environment that encourages career advancement within healthcare administration and review.
- Day 1 Medical, Dental, and Vision insurance
- Travel reimbursement for assignments
- Paid sick leave and additional valuable benefits
- Access to our $1,000 Inspire a Friend Referral Program
Why TactStaff?
Choosing TactStaff means partnering with a team that understands the unique demands and rewards of Utilization Review / CDI . We're here to provide you with meaningful assignments that support your professional growth while ensuring each role is a step toward achieving your long-term career goals.
Apply today to experience how TactStaff can elevate your Utilization Review / CDI career!
Vacancy posted 4 days ago
Similar jobs that could be interesting for youBased on the Registered Nurse - Utilization Review / CDI in East Elmhurst, NY vacancy
- ...RN - Utilization Review Duties: 1 year of non-acute utilization review experience - required RN experience - preferred This is the pay range that RightSourcing (a part of Magnit) reasonably expects to pay someone for this position, however, as a supplier your expected...Suggested
Compu-Vision Consulting
East Elmhurst, NY2 days ago - ...Skills: ~1 year of non-acute utilization review experience - required ~ RN experience - preferred Certification: New York State RN License Primary Source Verification AHA BLS Shift: ~8:30 AM-5:00 PM ~42.50 houris/week...SuggestedShift work
ATD Technology LLC
East Elmhurst, NY2 days ago $2,572 per month
...Type Travel Offering Nursing Profession RN Specialty... ...35546746 Job Title RN - Utilization Review (000298) Weekly Pay $2572.0... ...Job Description Job Title: Registered Nurse Profession: RN Specialty:...SuggestedWeekly payShift workRikers Island Correctional Facility
East Elmhurst, NY4 days ago$2,879 per month
...Health and Hospitals Corporation-Rikers Island Job Type Travel Offering Nursing Profession RN Specialty Utilization Review Job ID 19030015 Job Title RN - Utilization Review Weekly Pay $28...SuggestedWeekly payShift workNew York City Health and Hospitals Corporation-Rikers Island
Elmhurst, NY20 hours ago$2,778 per month
...Health+Hospitals/Correctional Health Services - RightSourcing Job Type Travel Offering Nursing Profession RN Specialty Utilization Review Job ID 38167588 Job Title RN - Utilization Review Weekly Pay $27...SuggestedWeekly payShift workNYC Health+Hospitals/Correctional Health Services - RightSou...
East Elmhurst, NY4 days ago$55 - $65 per hour
...Registered Nurse With Utilization Review Experience A healthcare organization is seeking a Registered Nurse with utilization review experience to support non-acute clinical review activities. This contract opportunity is based in the Queens, NY area and requires an...Hourly payContract workATRIA Consulting
East Elmhurst, NY4 days ago$2,505 per week
...Cross Country Nurses is seeking a travel nurse RN Utilization Review for a travel nursing job in Astoria, New York. Job Description & Requirements ~ Specialty... ...stipend amount to be determined. Posted job title: Registered Nurse / Utilization Review Exp About Cross...Shift workCross Country Nurses
Astoria, NY12 days ago- RN - Utilization Review Shift: 5 Day Shifts X 8 Hrs Start Date: 09/21/2026 End Date: 11/14/2026 Duration: 8 Week(s) City: East Elmhurst State: NY TALENTShift workDay shift
- ## Registered Nurse (RN) Manager - Utilization Review - FT/Day - AugustaApply: Onsite: AU Medical Center, Inc.: Full time: Posted Yesterday: JR-75604How would you like to work in a place where your contributions and ideas are valued? A place where you can serve with compassion...Full timeContract workLocal areaShift work
$110k
...and with the most efficient utilization of resources. Carries out activities... ...for justification. Reviews the patient’s plan of care in... ...patient. Plans transfers to nursing facilities, rehab and other... ...appropriate for discipline (Registered Nurse versus Social Worker)....Daily paidFull timePart timeFlexible hoursShift workMontefiore Nyack
Brooklyn, NY1 day ago$38.11 - $98.61 per hour
## Utilization Review Registered NurseApply: Beth Israel Deaconess Medical Center: Full time: Posted Today: JR104618**When you join the growing BILH... ....**Qualifications:***Required** Licensure as a Registered Nurse (RN), Massachusetts* Three years of recent clinical or...Hourly payFull timeLocal areaShift work- ...experience performing care for hospitalized patients 2 years of Utilization Review (UR) experience reviewing hospital admissions for medical... ...the appropriate setting. Minimum Requirements Education Nursing Diploma/Associate's - Nursing Experience 2-5 years Supervisor...Full timeReliefLocal areaRemote workMonday to FridayFlexible hoursShift work
$2,816.09 per month
...Client Name Jacobi Medical Center - NYCHH Job Type Travel Offering Nursing Profession RN Specialty Utilization Review Job ID 18960406 Weekly Pay $2816.09 Shift Details Shift 5x8 Days...Weekly payShift workJacobi Medical Center
Bronx, NY20 hours ago- Physician Advisor UR and CDI-Utilization Management Summary: The Physician Advisor is a key member of the healthcare organization's leadership... ...the Clinical Documentation Improvement and Utilization Review departments and the hospital leadership. The Physician Advisor...
$63.1k - $94.65k
...RN license, or be willing to obtain* Schedule Information Our Utilization Review team provides coverage seven days a week, operating between 8... ...Maintains positive, open communication with the physicians, nurses, multidisciplinary team members and administration Educates hospital...Work at officeFlexible hoursShift work- ...clinically orientated medical chart reviews and other administrative... ...of the medical center's utilization review plan, state and federal... ...: A Bachelor's Degree in Nursing preferred; three (3) years of... ...Must be licensed as a Registered Nurse by the State of Nevada...Hourly payDaily paidWork experience placement
$2,550 - $2,630 per week
...Job Description Job Description RN – Utilization Review Location: East Elmhurst, NY Employment Type: Contract – 13 Weeks... ...$69–$73 per hour Position Summary We are seeking a Registered Nurse (RN) – Utilization Review to evaluate healthcare services...Hourly payContract workLocal area- ## Job Title:RN - Utilization Review - PT## Job Summary:RN-Utilization Review is accountable to perform utilization management services for... ...Experience**Education and Experience Required:**One (1) year of nursing experience in an inpatient setting.**Certifications,...Part timeCasual workSeasonal workShift work
- ...member care. Rotating weekend hours are required to address utilization review cases. Roles and Responsibilities Prepares clinical reviews... ...experience. Must have a current, unrestricted Texas nursing license or Compact License. Please include your license number...Live inRemote workFlexible hoursWeekday work
$77.08k - $119.47k
## Utilization Review NurseApplylocations: 43 New Scotland Avenue Albany, NY 12208time type: Full timeposted on: Posted Todayjob requisition... ...Team and health care team.**Minimum Qualifications:** • Registered nurse with a New York State current license. • Associate's...Shift work- SUMMARY The Authorization Nurse will oversee the processing of assigned authorizations... ...assigned. KNOWLEDGE, SKILLS AND ABILITIES Registered Nurse in State of MI with unencumbered... ...managed care environment, preferably in a utilization related role. Must have one year of...Work at office
$50 - $55 per hour
...RN – Utilization Management New York, NY – Midtown $50–$55/hour Monday–Friday,... ...What 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...Permanent employmentTemporary workMonday to FridayGreen Key Resources
Manhattan, NY1 day ago- ...Mesa Springs in Fort Worth, TX is seeking a dedicated Utilization Review Specialist to ensure appropriate inpatient and outpatient authorizations, accuracy in denials and certifications, and effective communication with physicians and care teams. You will apply clinical...
Memorial Physician Practices
Brooklyn, NY1 day ago - ...members. We believe that our collective efforts will shape a healthier future for the communities we serve. How you'll contribute Utilization Review Specialist facilitates clinical reviews on all patient admissions and continued stays. UR analyzes patient records to...Temporary workFlexible hours
Memorial Physician Practices
Brooklyn, NY20 hours ago - ...What you will be doing? The Utilization Review (UR) Specialist is a critical member of the administrative team at Advanced Revenue Solutions... ..., and payer requirements. Bachelor's degree in Nursing, Social Work, Psychology, or a related field required; advanced...Work at officeLocal area
BriteLife Recovery
Englewood, NJ20 hours ago - AvonRisk LLC is seeking a Medical Case Management nurse in Texas for a hybrid role combining case management and utilization review. The nurse coordinates care, communicates with providers, the injured worker, and employer to achieve optimal medical and disability outcomes...
- ...Medusind in Costa Mesa, CA is seeking an UR Representative to conduct Utilization Reviews ensuring proper authorization for behavioral health services. You will review cases across multiple platforms, coordinate peer reviews, and enter authorization data while maintaining...
Medusind Inc
Brooklyn, NY2 days ago - Utilization Review Specialist- Healthcare | Raleigh Oaks Behavioral Health | Garner, North Carolina About the Job The Utilization Specialist... .... Communicates effectively with co-workers, program, and nursing staff regarding charting deficiencies and problems/issues identified...Temporary workWork at office
- Description POSITION SUMMARY The Utilization Review Specialist is responsible for ensuring clinical services are medically necessary, appropriately... ...team meetings as assigned. Collaborate with physicians, nurse practitioners, counselors, nursing staff, care coordinators,...Second jobWork at officeLocal area
- ...group of patients using the nursing process of assessment, diagnosis... ...patient/significant others, reviews patient's chart and answers... ...appropriate agencies; Recognizes and utilizes health teaching opportunities... ...license to practice as a Registered Professional Nurse in New...Hourly payLocal area
Do you want to receive more vacancies?
Subscribe and receive similar vacancies to Registered Nurse - Utilization Review / CDI. Be the first to apply!
Related searches
- optum rn East Elmhurst, NY
- rn risk management East Elmhurst, NY
- telehealth rn East Elmhurst, NY
- hospice rn registered nurse East Elmhurst, NY
- nurse rn East Elmhurst, NY
- rn ambulatory surgery East Elmhurst, NY
- rn hospice East Elmhurst, NY
- registered nurse East Elmhurst, NY
- rn transport East Elmhurst, NY
- home care rn East Elmhurst, NY