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Contractual Nicu Utilization Review Jobs (NOW HIRING)

Imh

Nursing Manager NICU

Almont, MI · On-site

... and utilization Team Leadership & Development * Hire, onboard, and retain NICU nurses and support staff * Conduct performance evaluations, competency validation, and peer reviews * Support NICU ...

ICONMA

RN - Neonatal ICU - NICU

Brighton, MA · On-site

RN - Neonatal ICU - NICU Our Client, a Medical Center company, is looking for a RN - Neonatal ICU - NICU for their Brighton, MA location. Responsibilities: * The Registered Nurse in the NICU provides ...

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How much do contractual nicu utilization review jobs pay per hour?

As of Aug 2, 2026, the average hourly pay for contractual nicu utilization review in the United States is $42.28, according to ZipRecruiter salary data. Most workers in this role earn between $33.41 and $48.56 per hour, depending on experience, location, and employer.

What are the key skills and qualifications needed to thrive as a Contractual NICU Utilization Review specialist, and why are they important?

To thrive as a Contractual NICU Utilization Review specialist, you need a strong clinical background in neonatal intensive care, knowledge of utilization management principles, and typically an RN or relevant healthcare degree. Familiarity with electronic medical records (EMRs), medical coding systems like ICD-10, and utilization review software is essential. Excellent analytical thinking, attention to detail, and effective written and verbal communication skills set top performers apart in this role. These skills ensure accurate review of patient cases, support appropriate care decisions, and help manage healthcare costs while maintaining high standards of neonatal care.

What is the difference between Contractual Nicu Utilization Review vs Contractual Pediatric Utilization Review?

AspectContractual NICU Utilization ReviewContractual Pediatric Utilization Review
CredentialsRN, Case Management CertificationRN, Case Management Certification
Work EnvironmentHospitals, NICUs, insurance companiesHospitals, pediatric clinics, insurance companies
Industry UsagePrimarily in neonatal intensive care settingsIn general pediatric care settings
PurposeReview NICU stays for medical necessity and billingReview pediatric hospital stays for medical necessity and billing

Contractual NICU Utilization Review focuses on neonatal intensive care units, assessing the necessity of NICU stays, while Contractual Pediatric Utilization Review covers broader pediatric hospital stays. Both roles require similar credentials and are used in hospital and insurance settings, but they specialize in different patient populations.

What are the main responsibilities of a Contractual NICU Utilization Review professional on a typical week?

A Contractual NICU Utilization Review professional is primarily responsible for reviewing neonatal intensive care unit (NICU) admissions, ongoing stays, and discharge plans to ensure that care provided aligns with established medical necessity criteria and payer guidelines. This involves collaborating closely with NICU physicians, nursing staff, and case managers to gather relevant clinical information, as well as communicating with insurance representatives to justify the medical need for specific treatments or extended stays. The role often includes preparing detailed reports, participating in interdisciplinary meetings, and staying up to date on evolving regulations and best practices in neonatal care. Effective time management and strong communication skills are essential in this fast-paced, detail-oriented environment.

What is a Contractual NICU Utilization Review?

A Contractual NICU Utilization Review involves evaluating the medical necessity and appropriateness of care provided to newborns in the Neonatal Intensive Care Unit (NICU) under a contractual agreement, often for insurance or healthcare organizations. These reviews ensure that hospital resources are used efficiently, that patients receive the appropriate level of care, and that billing aligns with contractual standards. Professionals in this role assess patient records, treatment plans, and outcomes to identify areas for improvement and cost control. The goal is to maintain quality care while managing expenses and compliance with healthcare regulations.
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Contractual Nicu Utilization Review jobs near you
Infographic showing various Contractual Nicu Utilization Review job openings in the United States as of July 2026, with employment types broken down into 89% Full Time, 9% Part Time, and 2% Contract. Highlights an 91% Physical, 3% Hybrid, and 6% Remote job distribution, with an average salary of $87,946 per year, or $42.3 per hour.

RN, Doernbecher Neonatal Intensive Care Unit

Doernbecher Neonatal Intensive Care Unit

Portland, OR • On-site

Other

Medical, Life, Retirement, PTO

Posted 4 days ago

Job description

Neonatal Intensive Care Unit Position

Doernbecher Children's Hospital Neonatal Intensive Care Unit (NICU) is a 46-bed level IV, regional referral center, providing care for a patient population of critically ill, convalescing and growing premature and term newborns. Admissions come from our own high-risk perinatal department, as well as transports from other hospitals in Oregon, Washington, Idaho and Hawaii.

Provide continuing care and monitoring of NICU patients in locations outside of the NICU including MRI, CT, Nuclear Medicine, Upper GI, Cardiac Catheterization Laboratory, etc.

This position also comes with great benefits! Some highlights include:

  • Comprehensive health care plans. Covered at 100% of the cost for full-time employees and 88% for dependents.
  • $50K of term life insurance provided at no cost to the employee
  • Two separate above market pension plans to choose from
  • Vacation - 192 to 288 hours per year depending on length of service, prorated for part-time
  • Holidays - up to 64 holiday hours per calendar year (employees accrue.0308 holiday hours for each hour paid – included in vacation accruals)
  • Sick Leave - 96 hours per year, prorated for part-time
  • Substantial public transportation discounts (Tri-met and C-Tran)
  • Tuition Reimbursement
  • Innovative Employee Assistance Program (EAP) including extensive wellness resources
Function/Duties of Position

The NICU at Doernbecher Children's Hospital at Oregon Health & Science University in Portland, OR is a regional referral center for all critically ill neonates, offering access to pediatric surgeons and subspecialists. Here are some things that set us apart from other hospitals in the area that make this an exciting place to work:

  • 46 bed, Level IV NICU, within a Level I, Academic Medical Trauma Center
  • Magnet designated hospital
  • Most comprehensive Fetal Care Program in Oregon and Southwest Washington, offering maternal and fetal care at one center, including intrauterine fetal surgery
  • Specialized neonatal resuscitation program for high risk delivery attendance
  • Pediatric and Neonatal Transport team
  • NICU specific PICC and Lactation teams
  • Pioneering research in areas including nutrition, patient safety, and ventilation strategies
  • This is a night shift only position - no rotations between night and day shift
Required Qualifications
  • 2 years Level II, III, and/or IV Neonatal Intensive Care Unit experience.
  • Annual/Biennial Department specific education requirements include:
    • Annual pediatric/neonatal competencies
    • Biennial competency for newborn resuscitation at high risk deliveries
  • BSN Graduates: Baccalaureate Degree in Nursing from a program accredited by Commission of Collegiate Nursing Education (CCNE), Accreditation Commission for Education in Nursing (ACEN) or Commission for Nursing Education Accreditation (CNEA) 30 days before start date.
  • ADN Graduates: Associate Degree in Nursing from an accredited program 30 days before the start date.
  • Associate degree Nurses required to enroll in BSN program within 3 years of hire and complete within 5 years of hire
  • Current, unencumbered Oregon State Registered Nurse License
  • BLS and NRP from AHA required. New hires will be enrolled and required to complete during orientation
  • Must be able to perform the essential functions of the position with or without accommodation
Preferred Qualifications
  • Internal Applicants: Bachelor's Degree in Nursing
  • Stable Certification for those with NICU experience
  • Bilingual: Spanish/English
  • Specialty certification specific to Neonatal Nursing
Additional Details

Length of Orientation – Experienced Nurse

  • External candidates: OHSU & Nursing New Employee Orientation (NEO) for about a week.
  • Either Transition to Practice (TTP) Program Specialty Fellowship/Fellowship Learning Pathway or Orientation experience from 3 days-26 weeks depending on the care area. An employment service agreement may apply

6 positions available

Why Apply To OHSU?

We are Oregon's only public academic health center. In addition to caring for patients, we lead groundbreaking research. We also train the next generation of health care professionals. As Portland's largest employer, we give you opportunities to learn and advance in a system of hospitals and clinics across Oregon and Southwest Washington.

All are welcome. OHSU welcomes people of all ages, ethnicities, genders, national origins, religions and sexual orientations. We are striving to build an anti-racist, multicultural institution and encourage people with diverse backgrounds to apply. To request reasonable accommodation, contact askhr@ohsu.edu

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