RN Utilization Review: Quality & Cost Optimization
Listed on 2026-10-20
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Nursing
RN Nurse
Capital Health seeks an Utilization Review RN to conduct admission and ongoing utilization reviews, coordinating with physicians, payers and the care team to ensure appropriate level of care while promoting quality and cost efficiency.
The role requires an RN with an associate degree and UR or discharge planning experience; CM/CPHQ credentials are preferred. Strong collaboration and knowledge of CMS/MCG guidelines are essential.
This posting is for the RN Utilization Review:
Quality & Cost Optimization role at Capital Health, based in Trenton, NJ, United States.
All applications are reviewed carefully by our team.
The position is based in Trenton, NJ, United States.
This opportunity is part of our work in Bio & Pharmacology & Health.
The advertised compensation is 85..
We aim to respond to suitable candidates as soon as possible.
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