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Registered Nurse - Outpatient Utilization Review Nurse - SUNYWNYRN at NavitsPartners

Job in Auburn, Cayuga County, New York, 13021, USA
Listing for: kozmetickesluzby.vecnakraska.sk - Jobboard
Full Time position Listed on 2026-11-02
Job specializations:
  • Nursing
    RN Nurse, Healthcare Nursing, Clinical Nurse Specialist
Salary/Wage Range or Industry Benchmark: 2000 USD Weekly USD 2000.00 WEEK

Job Description & How to Apply Below

Registered Nurse – Outpatient Utilization Review Nurse

Job Location:

Auburn, NY. Qualified for the SUNYWNYRN role at Navits Partners.

Qualifications
  • RN license with experience in outpatient case management or utilization review.
  • Minimum of 2 years of experience in ambulatory or outpatient settings.
  • Strong understanding of medical necessity criteria for outpatient services.
  • Familiarity with managed care policies and insurance guidelines.
  • Excellent organizational and analytical skills.
Duties
  • Evaluate the appropriateness of outpatient procedures and treatments.
  • Work with healthcare providers to streamline pre-authorization processes.
  • Monitor resource utilization and recommend cost-effective care strategies.
  • Analyze outpatient case data and ensure compliance with payer regulations.
  • Assist in coordinating referrals and follow-up care.
  • Educate providers on best practices for utilization management.
Pay
  • Medium weekly pay range: $2,000 - $2,500

Are you ready to take on the Registered Nurse
- Outpatient Utilization Review Nurse - SUNYWNYRN at Navits Partners Auburn, NY role at kozmetickesluzby.vecnakraska.sk
- Jobboard?

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