Utilization Review Nurse
Listed on 2026-07-01
-
Nursing
Nurse Practitioner, RN Nurse, Clinical Nurse Specialist, Healthcare Nursing
Job Title:
Registered Nurse (RN) – Case Management
Location: New York, NY 10037
Start Date: April 19, 2026
Duration: 3 Months (Possible Extension Based on Performance)
Schedule- Shift: 9:00 AM – 5:30 PM
- Days Per Week: 5
- Local RN: $65 per hour
- Traveler RN: $75 per hour
- Estimated Weekly Pay: $3,004
We are seeking an experienced Registered Nurse (RN) – Case Management to join our healthcare team in New York. The RN Case Manager will coordinate patient care, manage resources, and ensure appropriate utilization of healthcare services while maintaining high-quality patient outcomes.
Key Responsibilities- Perform case management and resource management for assigned patients.
- Coordinate interdisciplinary care planning and discharge planning.
- Conduct utilization review to ensure appropriate level of care and services.
- Collaborate with physicians, social workers, and healthcare teams to optimize patient outcomes.
- Monitor patient progress and adjust care plans as necessary.
- Ensure compliance with hospital policies, regulatory requirements, and documentation standards.
- Active New York State Registered Nurse (RN) License
- AHA BLS (Basic Life Support) Certification
- AHA ACLS (Advanced Cardiovascular Life Support) Certification
- Minimum 2 years of experience in Case Management / Resource Management / Utilization Management
- Strong clinical assessment and decision-making skills
- Excellent communication and interdisciplinary coordination
- Experience with discharge planning and patient advocacy Benefits
Pride Health offers eligible employees comprehensive healthcare coverage (medical, dental, and vision plans), supplemental coverage (accident insurance, critical illness insurance, and hospital indemnity), 401(k) retirement savings, life & disability insurance, an employee assistance program, legal support, auto and home insurance, pet insurance, and employee discounts with preferred vendors.
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