Utilization Review RN - PT - Day - Utilization Resource Mgmt Pennington NJ
$81,872–$107,130 year
On-sitePennington, New Jersey, United States
Job Summary
Utilization Review RN for Part-time daytime role in Pennington, NJ. Responsible for chart reviews to assess quality, timeliness, and appropriateness of patient care; conducts admission and continued stay reviews for Medicare, Medicaid, private insurers, and self-pay patients using CMS guidelines and hospital criteria; collaborates with the care team and payer contacts to optimize length of stay and resource use while maintaining patient safety and care quality. Requires an RN with an Associate's degree in nursing; five years' clinical nursing and three years in quality management/utilization review or discharge planning. Preferred credentials include CPHQ, CCM, or CPUR. No relocation information mentioned.
Required Qualifications
- Associate's degree in nursing
- Registered Nurse - NJ
- CPHQ, CCM or CPUR preferred
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