Registered Nurse - Utilization Review - RNUR 0615 AR#01
Job Description
Job DescriptionJob Title: Registered Nurse – Utilization Review (RN-UR)
Location: Syracuse, NY 13210
Schedule: Day Shift
Duration: 14 Weeks
Compensation
- Local Candidates: $2,000 – $2,300 per week
- Traveler Candidates: $2,500 – $2,800 per week
Position Overview
We are seeking an experienced Utilization Review Registered Nurse (RN) to support a fast-paced healthcare setting. This role involves reviewing patient cases across multiple levels of care to ensure medical necessity, appropriate resource utilization, and compliance with payer requirements.
Key Responsibilities
- Perform a combination of Admission, Continued Stay, and Discharge reviews with a minimum productivity of 25 reviews per day
- Review cases across Medical, Surgical, and Behavioral Health populations (pediatric through adult)
- Evaluate patient care levels including:
- Inpatient
- Outpatient
- Observation
- Emergency
- Work with multiple payer types, including:
- Medicare & Managed Medicare
- Medicaid & Managed Medicaid
- Commercial Insurance
- Workers’ Compensation & No-Fault
- Ensure accurate order and class alignment within the Epic EHR system throughout the patient stay
- Apply InterQual criteria for medical necessity and level-of-care determinations
- Utilize payer portals for authorization and review processes
Required Qualifications
- Active, unrestricted New York State Registered Nurse (RN) license
- BLS certification (AHA required)
- Minimum 1.5 years of recent clinical experience
- Prior experience in acute care or hospital-based Utilization Review
Preferred Skills & Experience
- Hands-on experience with Epic Electronic Health Record (EHR)
- Familiarity with InterQual first-level screening
- Experience navigating and working with payer portals
- Strong analytical, documentation, and communication skills
For more details reach at jknox@navitashealth.com or Call / Text at 732-791-4827.
About Navitas Healthcare, LLC: It is a Joint Commission Certified / WBENC and one of the fastest-growing healthcare staffing firms in the US providing Medical, Clinical and Non-Clinical services to numerous hospitals. We offer the most competitive pay for every position we cater. We understand this is a partnership. You will not be blindsided, and your salary will be discussed upfront.