Job Title: RN - Utilization Review Location: Syracuse, NY Type: Contract | 14 Weeks Shift & Schedule: Day Shift | Full-Time | Monday-Friday Position Overview: Navitas Healthcare, LLC is seeking RN - ...
Job Title: RN - Utilization Review Location: Syracuse, NY Type: Contract | 14 Weeks Shift & Schedule: Day Shift | Full-Time | Monday-Friday Position Overview: Navitas Healthcare, LLC is seeking RN - ...
Utilization Management RN
Canandaigua, NY · On-site
$35 - $47/hr
Utilization Management / CDS Nurse ( RN ) UM/CDS Nurse Responsibilities ... Perform extensive record review in accordance with state regulations, ensuring compliance with ...
Utilization Management RN
Canandaigua, NY · On-site
$35 - $47/hr
Utilization Management / CDS Nurse ( RN ) UM/CDS Nurse Responsibilities ... Perform extensive record review in accordance with state regulations, ensuring compliance with ...
Utilization Management / CDS Nurse ( RN ) UM/CDS Nurse Responsibilities ... Perform extensive record review in accordance with state regulations, ensuring compliance with ...
Utilization Management / CDS Nurse ( RN ) UM/CDS Nurse Responsibilities ... Perform extensive record review in accordance with state regulations, ensuring compliance with ...
Utilization Management RN
Canandaigua, NY · On-site
$35 - $47/hr
Utilization Management / CDS Nurse ( RN ) UM/CDS Nurse Responsibilities ... Perform extensive record review in accordance with state regulations, ensuring compliance with ...
Utilization Management RN
Canandaigua, NY · On-site
$35 - $47/hr
Utilization Management / CDS Nurse ( RN ) UM/CDS Nurse Responsibilities ... Perform extensive record review in accordance with state regulations, ensuring compliance with ...
Utilization Management / CDS Nurse ( RN ) UM/CDS Nurse Responsibilities ... Perform extensive record review in accordance with state regulations, ensuring compliance with ...
Utilization Management / CDS Nurse ( RN ) UM/CDS Nurse Responsibilities ... Perform extensive record review in accordance with state regulations, ensuring compliance with ...
Utilization Management RN
Canandaigua, NY · On-site
Utilization Management / CDS Nurse ( RN ) UM/CDS Nurse Responsibilities ... Perform extensive record review in accordance with state regulations, ensuring compliance with ...
Utilization Management RN
Canandaigua, NY · On-site
Utilization Management / CDS Nurse ( RN ) UM/CDS Nurse Responsibilities ... Perform extensive record review in accordance with state regulations, ensuring compliance with ...
Medical Review Nurse -UM/Post Appeals (Michigan RN license req)
Rochester, NY · Remote
$29.05 - $67.97/hr
Resolves escalated complaints regarding utilization management and long-term services and supports ... Reviews medically appropriate clinical guidelines and other appropriate criteria with medical ...
Medical Review Nurse -UM/Post Appeals (Michigan RN license req)
Rochester, NY · Remote
$29.05 - $67.97/hr
Resolves escalated complaints regarding utilization management and long-term services and supports ... Reviews medically appropriate clinical guidelines and other appropriate criteria with medical ...
Medical Review Nurse -UM/Post Appeals (Michigan RN license req)
Rochester, NY · Remote
$29.05 - $67.97/hr
... utilization management and long-term services and supports (LTSS) issues. • Identifies and ... complex claim review including diagnosis-related group (DRG) validation, itemized bill review ...
Medical Review Nurse -UM/Post Appeals (Michigan RN license req)
Rochester, NY · Remote
$29.05 - $67.97/hr
... utilization management and long-term services and supports (LTSS) issues. • Identifies and ... complex claim review including diagnosis-related group (DRG) validation, itemized bill review ...
UR Cardiac Care Flex Team - Registered Nurse 2, Inpatient
$38.76 - $50.39/hr
The Level II Registered Nurse, under the direction of the Nurse Manager, is accountable for provision of competent direct patient care based on established standards. The Level II Registered Nurse ...
UR Cardiac Care Flex Team - Registered Nurse 2, Inpatient
$38.76 - $50.39/hr
The Level II Registered Nurse, under the direction of the Nurse Manager, is accountable for provision of competent direct patient care based on established standards. The Level II Registered Nurse ...
UR Cardiac Care Flex Team - Registered Nurse 2, Inpatient
Rochester, NY · On-site
$38.76 - $50.39/hr
The Level II Registered Nurse, under the direction of the Nurse Manager, is accountable for provision of competent direct patient care based on established standards. The Level II Registered Nurse ...
UR Cardiac Care Flex Team - Registered Nurse 2, Inpatient
Rochester, NY · On-site
$38.76 - $50.39/hr
The Level II Registered Nurse, under the direction of the Nurse Manager, is accountable for provision of competent direct patient care based on established standards. The Level II Registered Nurse ...
UR Cardiac Care Flex Team - Registered Nurse 2, Inpatient
Rochester, NY · On-site
$38.76 - $50.39/hr
The Level II Registered Nurse, under the direction of the Nurse Manager, is accountable for provision of competent direct patient care based on established standards. The Level II Registered Nurse ...
UR Cardiac Care Flex Team - Registered Nurse 2, Inpatient
Rochester, NY · On-site
$38.76 - $50.39/hr
The Level II Registered Nurse, under the direction of the Nurse Manager, is accountable for provision of competent direct patient care based on established standards. The Level II Registered Nurse ...
UR Cardiac Care Flex Team - Registered Nurse 3, Inpatient
Rochester, NY · On-site
$41.93 - $54.51/hr
Applicants will have a minimum of 3 years of RN experience. This position utilizes expert skill and knowledge to deliver nursing care, directs others, and assumes the role as a care coordinator or ...
UR Cardiac Care Flex Team - Registered Nurse 3, Inpatient
Rochester, NY · On-site
$41.93 - $54.51/hr
Applicants will have a minimum of 3 years of RN experience. This position utilizes expert skill and knowledge to deliver nursing care, directs others, and assumes the role as a care coordinator or ...
UR Cardiac Care Flex Team - Registered Nurse 3, Inpatient
$41.93 - $54.51/hr
Applicants will have a minimum of 3 years of RN experience. This position utilizes expert skill and knowledge to deliver nursing care, directs others, and assumes the role as a care coordinator or ...
UR Cardiac Care Flex Team - Registered Nurse 3, Inpatient
$41.93 - $54.51/hr
Applicants will have a minimum of 3 years of RN experience. This position utilizes expert skill and knowledge to deliver nursing care, directs others, and assumes the role as a care coordinator or ...
UR Cardiac Care Flex Team - Registered Nurse 3, Inpatient
Rochester, NY · On-site
$41.93 - $54.51/hr
Applicants will have a minimum of 3 years of RN experience. This position utilizes expert skill and knowledge to deliver nursing care, directs others, and assumes the role as a care coordinator or ...
UR Cardiac Care Flex Team - Registered Nurse 3, Inpatient
Rochester, NY · On-site
$41.93 - $54.51/hr
Applicants will have a minimum of 3 years of RN experience. This position utilizes expert skill and knowledge to deliver nursing care, directs others, and assumes the role as a care coordinator or ...
REGISTERED NURSE
Rochester, NY · On-site
$35 - $38/hr
REGISTERED NURSE Location: 146 Hobart St Department: Nursing Employment Type: Limited Part-Time ... Participates in monthly Utilization Review, quality assurance and program evaluation activities as ...
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REGISTERED NURSE
Rochester, NY · On-site
$35 - $38/hr
REGISTERED NURSE Location: 146 Hobart St Department: Nursing Employment Type: Limited Part-Time ... Participates in monthly Utilization Review, quality assurance and program evaluation activities as ...
REGISTERED NURSE
$35 - $38/hr
REGISTERED NURSE Location: 146 Hobart St Department: Nursing Employment Type: Limited Part-Time ... Participates in monthly Utilization Review, quality assurance and program evaluation activities as ...
REGISTERED NURSE
$35 - $38/hr
REGISTERED NURSE Location: 146 Hobart St Department: Nursing Employment Type: Limited Part-Time ... Participates in monthly Utilization Review, quality assurance and program evaluation activities as ...
REGISTERED NURSE
Rochester, NY · On-site
$35 - $38/hr
REGISTERED NURSE Location: 146 Hobart St Department: Nursing Employment Type: Limited Part-Time ... Participates in monthly Utilization Review, quality assurance and program evaluation activities as ...
REGISTERED NURSE
Rochester, NY · On-site
$35 - $38/hr
REGISTERED NURSE Location: 146 Hobart St Department: Nursing Employment Type: Limited Part-Time ... Participates in monthly Utilization Review, quality assurance and program evaluation activities as ...
REGISTERED NURSE
$35 - $38/hr
REGISTERED NURSE Location: 146 Hobart St Department: Nursing Employment Type: Limited Part-Time ... Participates in monthly Utilization Review, quality assurance and program evaluation activities as ...
REGISTERED NURSE
$35 - $38/hr
REGISTERED NURSE Location: 146 Hobart St Department: Nursing Employment Type: Limited Part-Time ... Participates in monthly Utilization Review, quality assurance and program evaluation activities as ...
REGISTERED NURSE
$35 - $38/hr
REGISTERED NURSE Location: 146 Hobart St Department: Nursing Employment Type: Limited Part-Time ... Participates in monthly Utilization Review, quality assurance and program evaluation activities as ...
REGISTERED NURSE
$35 - $38/hr
REGISTERED NURSE Location: 146 Hobart St Department: Nursing Employment Type: Limited Part-Time ... Participates in monthly Utilization Review, quality assurance and program evaluation activities as ...
Registered Nurse (RN)
Batavia, NY · On-site
$44/hr
The RN will monitor and evaluate nursing care in accordance with Personalcare philosophy, goals and objectives. This position will directly report to the Medical Director or other mid-level ...
Registered Nurse (RN)
Batavia, NY · On-site
$44/hr
The RN will monitor and evaluate nursing care in accordance with Personalcare philosophy, goals and objectives. This position will directly report to the Medical Director or other mid-level ...
Entry Level Rn Utilization Review Nurse information
See Rochester, NY salary details
$21.11 - $25.38
2% of jobs
$25.38 - $29.65
9% of jobs
$32.57 is the 25th percentile. Wages below this are outliers.
$29.65 - $33.92
21% of jobs
The median wage is $37.37 / hr.
$33.92 - $38.19
23% of jobs
$38.19 - $42.46
13% of jobs
$45.78 is the 75th percentile. Wages above this are outliers.
$42.46 - $46.72
10% of jobs
$46.72 - $50.99
8% of jobs
$50.99 - $55.26
5% of jobs
$55.26 - $59.53
5% of jobs
$59.53 - $63.80
2% of jobs
$63.80 - $68.07
2% of jobs
$21
$41
$68
How much do entry level rn utilization review nurse jobs pay per hour?
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This job post has expired 1 day ago. Applications are no longer accepted.
Job description
Job Title: RN - Utilization Review
Location: Syracuse, NY
Type: Contract | 14 Weeks
Shift & Schedule: Day Shift | Full-Time | Monday-Friday
Position Overview:
Navitas Healthcare, LLC is seeking RN - Utilization Review for an exciting Travel or Local job in Syracuse, NY.
Responsibilities
- Conduct utilization review activities for inpatient admissions and continued stays
- Review medical records to determine medical necessity and appropriate level of care using established screening criteria
- Ensure compliance with CMS regulations, payer requirements, and hospital policies
- Collaborate with physicians, case managers, nursing staff, and payers regarding authorization and care coordination
- Interface with healthcare payers and regulatory agencies regarding patient status and reimbursement requirements
- Monitor admission status, discharge planning, and length of stay management
- Maintain accurate and timely documentation within the electronic medical record system
- Participate in quality improvement and performance initiatives related to utilization management
- Identify and escalate cases requiring physician advisor review or additional clinical documentation
- Support denial prevention and appeal processes when necessary
Requirements
- Current New York State RN License required
- Current BLS Certification required
- Minimum 1.5 years of recent acute care hospital experience within the last 2 years required
- Strong clinical assessment, critical thinking, and analytical skills
- Excellent verbal and written communication skills
- Ability to work independently and collaboratively in a fast-paced healthcare environment
Preferred Qualifications
- Utilization Review, Utilization Management, or Case Management experience preferred
- Experience with MCG or InterQual screening tools preferred
- Knowledge of CMS regulations related to hospital admissions and utilization review preferred
- Experience interfacing with healthcare payers and regulatory agencies preferred
- EPIC EMR experience preferred
- Experience with payer authorization processes and denial management preferred
- Trauma center or large hospital experience preferred
For more details contact at hdavda@navitashealth.com or Call / Text at 516-862-1169.
About Navitas Healthcare, LLC: It is a Joint Commission Certified / WBENC and one of the fastest-growing healthcare staffing firms in the US providing Medical, Clinical and Non-Clinical services to numerous hospitals. We offer the most competitive pay for every position we cater. We understand this is a partnership. You will not be blindsided and your salary will be discussed upfront.