Registered Nurse Utilization Review - RNUR 0615 AR#01

Registered Nurse

• Utilization Review

• RNUR 0615 AR

  #01 NavitasPartners
• 4.0 Yonkers, NY Job Details $2,000
• $2,800 a week 22 hours ago

Qualifications RN License BLS Certification Full Job Description Job Title:

Registered Nurse

• Utilization Review (RN-UR)

Location:

Syracuse, NY 13210

Schedule:

Day Shift Duration:

14

Weeks Compensation Local Candidates:

$2,000

• $2,300 per week

Traveler Candidates:

$2,500

• $2,800 per week Position Overview We are seeking an experienced Utilization Review Registered Nurse (RN) to support a fast-paced healthcare setting.

This role involves reviewing patient cases across multiple levels of care to ensure medical necessity, appropriate resource utilization, and compliance with payer requirements. Key Responsibilities Perform a combination of Admission, Continued Stay, and Discharge reviews with a minimum productivity of 25 reviews per day Review cases across Medical, Surgical, and Behavioral Health populations (pediatric through adult) Evaluate patient care levels including: Inpatient Outpatient Observation Emergency Work with multiple payer types, including: Medicare & Managed Medicare Medicaid & Managed Medicaid Commercial Insurance Workers' Compensation & No-Fault Ensure accurate order and class alignment within the Epic EHR system throughout the patient stay Apply InterQual criteria for medical necessity and level-of-care determinations Utilize payer portals for authorization and review processes Required Qualifications Active, unrestricted New York State Registered Nurse (RN) license BLS certification (AHA required) Minimum 1.5 years of recent clinical experience Prior experience in acute care or hospital-based Utilization Review Preferred Skills & Experience Hands-on experience with Epic Electronic Health Record (EHR) Familiarity with InterQual first-level screening Experience navigating and working with payer portals Strong analytical, documentation, and communication skills For more details reach at or Call / Text at 732-791-4827 .

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.