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Utilization Review Case Management Rn Jobs in New York

Certified Case Manager (CCM) preferred Must-Have: Strong understanding of insurance guidelines ... The Utilization Review RN is responsible for reviewing medical records to determine the ...

Certified Case Manager (CCM) preferred Must-Have: Strong understanding of insurance guidelines ... The Utilization Review RN is responsible for reviewing medical records to determine the ...

Collaborate with Case Management, Quality Management, Medical Directors, and insurance companies ... Non-acute utilization review. Skills: RN,REGISTERED NURSE

Collaborate with Case Management, Quality Management, Medical Directors, and insurance companies ... Non-acute utilization review. Skills: RN,REGISTERED NURSE

RN - Utilization Review

New York, NY ยท On-site

$65 - $70/hr

Collaborate with Case Management, Quality Management, Medical Directors, and insurance companies ... Preferred Skills & Experience * RN experience. Skills * Non-acute utilization review.

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Utilization Review Case Management Rn information

What cities in New York are hiring for Utilization Review Case Management Rn jobs?

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Infographic showing various Utilization Review Case Management Rn job openings in New York as of June 2026, with employment types broken down into 3% As Needed, 80% Full Time, 14% Part Time, and 3% Contract. Highlights an 92% Physical, 2% Hybrid, and 6% Remote job distribution.

RN - Utilization Review

Manhattan, NY โ€ข On-site

$2.7K/wk

Other

Posted 4 days ago


Job description

Details
Client Name
Harlem Hospital
Job Type
Travel
Offering
Nursing
Profession
RN
Specialty
Utilization Review
Job ID
38063810
Job Title
RN - Utilization Review
Weekly Pay
$2742.5
Shift Details
Shift
8a-4p
Scheduled Hours
40
Job Order Details
Start Date
09/28/2026
End Date
11/21/2026
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

Client Details
Address
506 Lenox Ave
City
New York City
State
NY
Zip Code
10037