Portsmouth, NH · On-site
$2.1K/wk
Utilization Review * Discipline: RN * Duration: 13 weeks * 36 hours per week * Shift: 12 hours * Employment Type: Travel & Requirements RN Case Manager StartDate: ASAP Pay Rate: $1800.00 - $2500.00 ...
Portsmouth, NH · On-site
$2.1K/wk
Utilization Review * Discipline: RN * Duration: 13 weeks * 36 hours per week * Shift: 12 hours * Employment Type: Travel & Requirements RN Case Manager StartDate: ASAP Pay Rate: $1800.00 - $2500.00 ...
Standardize care management and utilization review processes across hospitals and care settings. * Lead initiatives focused on improving quality outcomes, patient experience, patient throughput ...
Standardize care management and utilization review processes across hospitals and care settings. * Lead initiatives focused on improving quality outcomes, patient experience, patient throughput ...
Standardize care management and utilization review processes across all hospitals and care settings. * Lead initiatives that improve quality outcomes, patient experience, throughput, length of stay ...
Standardize care management and utilization review processes across all hospitals and care settings. * Lead initiatives that improve quality outcomes, patient experience, throughput, length of stay ...
Standardize care management and utilization review processes across all hospitals and care settings. * Lead initiatives that improve quality outcomes, patient experience, throughput, length of stay ...
Standardize care management and utilization review processes across all hospitals and care settings. * Lead initiatives that improve quality outcomes, patient experience, throughput, length of stay ...
Through utilization review determines if patient is meeting criteria of evidence-based clinical guidelines for appropriate level of care. Identifies the need to execute the appropriate letter when ...
Through utilization review determines if patient is meeting criteria of evidence-based clinical guidelines for appropriate level of care. Identifies the need to execute the appropriate letter when ...
Through utilization review determines if patient is meeting criteria of evidence-based clinical guidelines for appropriate level of care. Identifies the need to execute the appropriate letter when ...
Through utilization review determines if patient is meeting criteria of evidence-based clinical guidelines for appropriate level of care. Identifies the need to execute the appropriate letter when ...
Through utilization review determines if patient is meeting criteria of evidence-based clinical guidelines for appropriate level of care. Identifies the need to execute the appropriate letter when ...
Through utilization review determines if patient is meeting criteria of evidence-based clinical guidelines for appropriate level of care. Identifies the need to execute the appropriate letter when ...
Milton, NH · On-site
Assisting with the discharge process while utilizing discharge tools and tracking the entire process through the EMR, while ensuring constant communication with billing and Utilization Review team ...
Milton, NH · On-site
Assisting with the discharge process while utilizing discharge tools and tracking the entire process through the EMR, while ensuring constant communication with billing and Utilization Review team ...
Concord, NH · On-site
$95 - $100/hr
Utilizes medical/clinical review guidelines and parameters to assure consistency in the MD review process to reflect appropriate utilization and compliance with SBU`s policies/procedures, as well as ...
Concord, NH · On-site
$95 - $100/hr
Utilizes medical/clinical review guidelines and parameters to assure consistency in the MD review process to reflect appropriate utilization and compliance with SBU`s policies/procedures, as well as ...
Concord, NH · On-site
$95 - $109/hr
Utilizes medical/clinical review guidelines and parameters to assure consistency in the MD review process to reflect appropriate utilization and compliance with SBU`s policies/procedures, as well as ...
Concord, NH · On-site
$95 - $109/hr
Utilizes medical/clinical review guidelines and parameters to assure consistency in the MD review process to reflect appropriate utilization and compliance with SBU`s policies/procedures, as well as ...
Concord, NH · On-site
$95 - $109/hr
Utilizes medical/clinical review guidelines and parameters to assure consistency in the MD review process to reflect appropriate utilization and compliance with SBU`s policies/procedures, as well as ...
Concord, NH · On-site
$95 - $109/hr
Utilizes medical/clinical review guidelines and parameters to assure consistency in the MD review process to reflect appropriate utilization and compliance with SBU`s policies/procedures, as well as ...
Concord, NH · On-site
$95 - $96/hr
Utilizes medical/clinical review guidelines and parameters to assure consistency in the MD review process to reflect appropriate utilization and compliance with SBU`s policies/procedures, as well as ...
Concord, NH · On-site
$95 - $96/hr
Utilizes medical/clinical review guidelines and parameters to assure consistency in the MD review process to reflect appropriate utilization and compliance with SBU`s policies/procedures, as well as ...
Milton, NH · On-site
$70K - $75K/yr
Assisting with the discharge process while utilizing discharge tools and tracking the entire process through the EMR, while ensuring constant communication with billing and Utilization Review team ...
Milton, NH · On-site
$70K - $75K/yr
Assisting with the discharge process while utilizing discharge tools and tracking the entire process through the EMR, while ensuring constant communication with billing and Utilization Review team ...
Portsmouth, NH · On-site
Performs utilization review ensuring admissions meet criteria for appropriateness of care and medical necessity * Manages the process to review and, as appropriate, appeal denials received from ...
Portsmouth, NH · On-site
Performs utilization review ensuring admissions meet criteria for appropriateness of care and medical necessity * Manages the process to review and, as appropriate, appeal denials received from ...
Milton, NH · On-site
Maintain accurate documentation and consistent communication with clinical, billing, and utilization review teams. Qualifications * Bachelor's degree preferred. * Minimum of 2 years of experience in ...
Milton, NH · On-site
Maintain accurate documentation and consistent communication with clinical, billing, and utilization review teams. Qualifications * Bachelor's degree preferred. * Minimum of 2 years of experience in ...
Concord, NH · On-site
Strong knowledge of case management principles, discharge planning, and utilization review. * Excellent communication, organizational, and problem-solving skills. * BLS certification (required); ACLS ...
Quick apply
Concord, NH · On-site
Strong knowledge of case management principles, discharge planning, and utilization review. * Excellent communication, organizational, and problem-solving skills. * BLS certification (required); ACLS ...
Concord, NH · On-site
$130 - $140/hr
Utilizes medical/clinical review guidelines and parameters to assure consistency in the MD review process to reflect appropriate utilization and compliance with SBU`s policies/procedures, as well as ...
Concord, NH · On-site
$130 - $140/hr
Utilizes medical/clinical review guidelines and parameters to assure consistency in the MD review process to reflect appropriate utilization and compliance with SBU`s policies/procedures, as well as ...
Utilizes medical/clinical review guidelines and parameters to assure consistency in the MD review process to reflect appropriate utilization and compliance with SBU`s policies/procedures, as well as ...
Utilizes medical/clinical review guidelines and parameters to assure consistency in the MD review process to reflect appropriate utilization and compliance with SBU`s policies/procedures, as well as ...
Concord, NH · On-site
$64 - $65/hr
Participate in interdisciplinary care planning, patient conferences, and utilization review meetings * Recommend appropriate Durable Medical Equipment (DME) to support safe mobility and discharge ...
Concord, NH · On-site
$64 - $65/hr
Participate in interdisciplinary care planning, patient conferences, and utilization review meetings * Recommend appropriate Durable Medical Equipment (DME) to support safe mobility and discharge ...
Concord, NH · On-site
$130 - $145/hr
Utilizes medical/clinical review guidelines and parameters to assure consistency in the MD review process to reflect appropriate utilization and compliance with SBU`s policies/procedures, as well as ...
Concord, NH · On-site
$130 - $145/hr
Utilizes medical/clinical review guidelines and parameters to assure consistency in the MD review process to reflect appropriate utilization and compliance with SBU`s policies/procedures, as well as ...
$20.94 - $25.17
2% of jobs
$25.17 - $29.41
9% of jobs
$32.31 is the 25th percentile. Wages below this are outliers.
$29.41 - $33.64
21% of jobs
The median wage is $37.07 / hr.
$33.64 - $37.88
23% of jobs
$37.88 - $42.11
13% of jobs
$45.41 is the 75th percentile. Wages above this are outliers.
$42.11 - $46.35
10% of jobs
$46.35 - $50.58
8% of jobs
$50.58 - $54.82
5% of jobs
$54.82 - $59.05
5% of jobs
$59.05 - $63.29
2% of jobs
$63.29 - $67.52
2% of jobs
$20
$41
$67
A Utilization Review (UR) job involves assessing the medical necessity, efficiency, and appropriateness of healthcare services. UR professionals, often nurses or healthcare specialists, review patient records, insurance claims, and treatment plans to ensure they meet industry standards and payer requirements. They work with healthcare providers, insurance companies, and regulatory agencies to optimize care while controlling costs. Their goal is to balance quality patient care with cost-effective resource utilization.
A typical day in Utilization Review involves reviewing patient medical records, evaluating the necessity and appropriateness of proposed treatments or services, and documenting recommendations based on clinical criteria and insurance policies. Utilization Review specialists often collaborate closely with physicians, nurses, and insurance representatives to gather additional information and clarify cases. While much of the role is desk-based and may include remote work options, it requires regular communication with both clinical and administrative teams. This position offers variety and challenge, as no two cases are exactly alike, and there are often opportunities to advance into supervisory or quality improvement roles within the department.
To thrive in Utilization Review, professionals typically need a background in nursing or healthcare, strong clinical assessment capabilities, and a thorough understanding of medical guidelines and insurance regulations. Familiarity with electronic medical records (EMR) systems and utilization management software, and often certification such as Certified Utilization Review Specialist (CURN), are important. Excellent critical thinking, attention to detail, and strong communication skills enable effective case evaluation and collaboration with healthcare teams. These skills and qualifications ensure objective, accurate decisions that support cost-effective, quality patient care within compliance standards.
The top searched job categories for Utilization Review jobs in Rochester, NH are:
Cities near Rochester, NH with the most Utilization Review job openings:
Portsmouth, NH • On-site
$2.1K/wk
Other
Medical, Dental, Vision, Life, Retirement
This job post has expired 1 day ago. Applications are no longer accepted.
AMN Healthcare Revenue Cycle is seeking a travel nurse RN Case Manager, Utilization Review for a travel nursing job in Portsmouth, New Hampshire.
Job Description & RequirementsJob Description & Requirements
RN Case Manager
StartDate: ASAP Pay Rate: $1800.00 - $2500.00
POSITION SUMMARY – RN Case Manager
POSITION DUTIES – Coordinate patient care from admission through discharge, ensuring that treatments, services, and resources align with each patient’s medical needs and recovery goals. Collaborate closely with physicians, nurses, and external providers to remove barriers to care, streamline transitions, and support safe, efficient discharge planning. Utilization management and revenue integrity.
MINIMUM REQUIRED QUALIFICATIONS –
LENGTH OF ASSIGNMENT – 13 weeks
SHIFT / HOURS PER WEEK – 8a-4:30p
SYSTEMS – Midas
START DATE – ASAP
AMN Healthcare Revenue Cycle Job ID #3519963. Pay package is based on 12 hour shifts and 36 hours per week (subject to confirmation) with tax-free stipend amount to be determined. Posted job title: RN Case Manager
About AMN Healthcare Revenue CycleAMN Healthcare is a leading force in the healthcare industry, committed to being the most trusted, innovative, and influential partner for healthcare organizations. With a focus on providing quality patient care, AMN Healthcare offers holistic solutions that reduce costs, streamline processes, and improve efficiencies. The company boasts over 30 years of experience and takes pride in staffing leading healthcare facilities with the nation's best travelers. As an industry leader, AMN Healthcare offers a diverse team dedicated to supporting healthcare workers and facilities, ensuring a personalized and supportive experience for both clients and candidates.
Benefits
