RN - Utilization Review
$2,734.5 per monthNYC Health+Hospitals/Correctional Health Services - RightSourcing
Details Client Name
NYC 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
$2734.5
Shift Details Shift
8a-4p
Scheduled Hours
40
Job Order Details Start Date
10/05/2026
End Date
11/30/2026
Duration
8 Week(s)
Job Description About the Position
Specialty: RN - Utilization Review
Experience: 2+ years of experience in utilization review, case management, or acute care nursing
License: Active State or Compact RN License
Certifications: BLS - AHA; Certified Case Manager (CCM) preferred
Must-Have: Strong understanding of insurance guidelines, medical necessity criteria (e.g., InterQual or MCG), and discharge planning Description: The Utilization Review RN is responsible for reviewing medical records to determine the appropriateness and medical necessity of hospital admissions and continued stays. The nurse collaborates with providers, insurance companies, and case managers to ensure compliance with coverage guidelines and supports optimal patient outcomes while managing healthcare costs. Requirements Required for Onboarding:
East Elmhurst
State
NY
Zip Code
11369
NYC 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
$2734.5
Shift Details Shift
8a-4p
Scheduled Hours
40
Job Order Details Start Date
10/05/2026
End Date
11/30/2026
Duration
8 Week(s)
Job Description About the Position
Specialty: RN - Utilization Review
Experience: 2+ years of experience in utilization review, case management, or acute care nursing
License: Active State or Compact RN License
Certifications: BLS - AHA; Certified Case Manager (CCM) preferred
Must-Have: Strong understanding of insurance guidelines, medical necessity criteria (e.g., InterQual or MCG), and discharge planning Description: The Utilization Review RN is responsible for reviewing medical records to determine the appropriateness and medical necessity of hospital admissions and continued stays. The nurse collaborates with providers, insurance companies, and case managers to ensure compliance with coverage guidelines and supports optimal patient outcomes while managing healthcare costs. Requirements Required for Onboarding:
- Active RN License
- BLS
East Elmhurst
State
NY
Zip Code
11369
Vacancy posted 2 days ago
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