Nurse Registered Utilization Management- Part time

Job Description

The Utilization Management Registered Nurse (UM RN) is responsible for evaluating the medical necessity, appropriateness, and efficiency of healthcare services in accordance with established criteria, regulatory requirements, and organizational role. The UM RN ensures optimal patient care delivery while supporting compliance, quality outcomes, and effective resource utilization. The role is responsible for the assessment of medical necessity for admission to the hospital as well as continued stay, ensuring that services are appropriate, securing payer authorization when required, and maintaining documentation to minimize denial risks.

Work requires a Bachelor of Science in Nursing and at least 3 years of nursing experience. Preferred 3+ years of Utilization Review or Case Management experience. Case Management Society of America Certification (CCM) preferred. Licensure required as a Registered Nurse in the State of New Jersey.

• Competitive salary*
• Robust benefits with health, dental, Rx and vision plans
• 403b retirement plan options with company match**
• Health & Wellness*
• Non-Profit Health System – eligible for Federal Student Loan Forgiveness
• PTO and paid holidays
• Tuition reimbursement
• Employee Assistance Program
• LTD:
  Long Term Disability
• Life Insurance Options
• Onsite Daycare Program
• Available for Per Diem Employees and Part‑time Employees working under 20 hours per week
• 403b Company Match not applicable for Per Diem Employees and Part‑time Employees working under 20 hours per week

St. Joseph’s Health provides a salary range to comply with New Jersey Law. The rate of pay for each position will be determined based on a variety of factors including the candidate's relevant experience, qualifications, and skills. The salary range does not include incentives, differential pay, or other forms of compensation.