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Contractual Nicu Utilization Review Jobs (NOW HIRING)

NICU

NICU- Clinical Nurse Specialist

Riverside, CA · On-site

Clinical Nurse Specialist The Clinical Nurse Specialist shall be responsible for directing the clinical nursing practice in the NICU & Pediatric Unit. Coordination and assessment of educational ...

St. David's HealthCare

Neonatal ICU (NICU)

Austin, TX · On-site

  • Medical

  • Dental

  • Vision

  • Retirement

Neonatal Icu (nicu) Rn Travel Job Genie Healthcare is looking for a RN to work in Neonatal ICU (NICU) for a 13 weeks travel assignment located in Austin, TX for the Shift (3x12 nights, 19:00:00-07:00 ...

University of Iowa

NICU APP Assistant Manager

Iowa City, IA · On-site

  • Medical

  • Dental

  • Life

  • Retirement

  • PTO

... optimal utilization of APPs within the team-based care model. * Participates in APP councils ... Performs additional duties as needed to support NICU operations, APP team development, and patient ...

University of Iowa

NICU APP Assistant Manager

Iowa City, IA

  • Medical

  • Dental

  • Life

  • Retirement

  • PTO

... optimal utilization of APPs within the team-based care model. * Participates in APP councils ... Performs additional duties as needed to support NICU operations, APP team development, and patient ...

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Contractual Nicu Utilization Review information

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

As of Aug 14, 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?

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?

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.

What cities are hiring for Contractual Nicu Utilization Review jobs?

Cities with the most Contractual Nicu Utilization Review job openings:

What are the most commonly searched types of Nicu Utilization Review jobs?

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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 1% As Needed, 81% Full Time, 14% Part Time, 1% Temporary, and 3% Contract. Highlights an 89% Physical, 3% Hybrid, and 8% Remote job distribution, with an average salary of $87,946 per year, or $42.3 per hour.

NICU- Clinical Nurse Specialist

NICU

Riverside, CA • On-site

Other

Posted 11 days ago

Job description

Clinical Nurse Specialist

The Clinical Nurse Specialist shall be responsible for directing the clinical nursing practice in the NICU & Pediatric Unit. Coordination and assessment of educational development and clinical competency of the nursing staff in the NICU; and for ensuring continued neonatal critical care nursing competency through educational programs for both the newly-hired and experienced nursing staff. Consultation with staff on complex neonatal critical care nursing issues. Oversight of comprehensive parent and or primary caretaker education activities. Ensuring the implementation of a coordinated and effective discharge planning program. Evaluation of NICU based on Accrediting and Regulatory Agencies.

Coordination and assessment of educational development and clinical competency of the nursing staff in the Pediatric Unit; and for ensuring continued Pediatric nursing competency through educational programs for both the newly-hired and experienced nursing staff. Consultation with staff on Pediatric nursing issues. Oversight of comprehensive parent and or primary caretaker education activities. Ensuring the implementation of a coordinated and effective discharge planning program.

Evaluation of Pediatric Unit based on Accrediting and Regulatory Agencies.

RN licensed by the State of California.

Certified by the California State Board of Registered Nursing as a CNS.

Masters of Science Degree in Nursing.

Three years of clinical experience in neonatal nursing care, at least one of which shall have been in a facility with an NICU that is equivalent to a Regional or Community NICU.

Current certification in Neonatal Intensive Care Nursing from a nationally recognized accrediting organization, i.e. the NCC; and

Current successful completion of the Neonatal Resuscitation Program of the AAP and AHA.

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