Pay Growth
?
out of 5
Not enough data
Not enough info to score pay or growth
Find Jobs
Find Jobs Near You – Available Work in Your Location
Find & Apply For Registered Nurse Jobs in Fairview, New Jersey
Browse jobs from a variety of sources below, sorted with the most recently published, nearest to the top. Click the title to view more information and apply online.
Skip to job details
Now viewing: Utilization Review Nurse
GK
Green Key Resources
Utilization Review Nurse
Choose a Location
This role is available in multiple locations. Pick one to apply.
Review key factors to help you decide if the role fits your goals.
Job Security
?
out of 5
Not enough data
Calculating job security score...
Total Score
77
out of 100
Average of individual scores
Job Description
Utilization Review Nurse at Green Key Resources Utilization Review Nurse at Green Key Resources in Secaucus, New Jersey Posted in about 1 hour ago.
Type:
full-time RN
- Utilization Management ???? New York, NY
- Midtown ???? $50
- 55/hour ?
??? Monday-Friday, 9:00 AM-5:00 PM ???? Onsite for the first 6 months, then hybrid ???? Temp-to-perm opportunity A healthcare organization in Midtown Manhattan is looking for an experienced RN Utilization Management professional to join its team. This is a great opportunity for an RN with a health insurance or managed care background and strong experience on the payer side of utilization management. What they're looking for: NYS Registered Nurse with a Bachelor's degree 3+ years of Medical/Surgical nursing experience 2+ years of Utilization Management experience Strong payer-side UM experience, including medical necessity reviews, prior authorizations, appeals, and benefit determinations Experience with concurrent, prospective, and retrospective reviews Strong knowledge of Milliman Care Guidelines (MCG) Comfortable working with productivity metrics, turnaround times, and quality standards Experience collaborating with Medical Consultants on denials and clinical determinations Strong clinical assessment, critical thinking, and communication skills DMS and/or QNXT experience is a major plus Candidates coming from health insurance or managed care organizations are especially encouraged to apply. Hospital-based UM experience may also be considered, but payer-side experience is strongly preferred. You'll be part of a collaborative team that includes other RN UM professionals, an Assistant Manager, Care Coordinators, and call center staff. #UtilizationManagement #RegisteredNurse #RNJobs #NursingJobs #ManagedCare #HealthInsurance #HealthcareJobs #NewYorkJobs #NYCJobs #UMRN
Benefits
- Health Insurance