Rn Utilization Review Jobs

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RN Case Manager / Utilization Review

Greenlife Healthcare Staffing•Syracuse, NY
•Onsite
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About The Position

Optimize patient care transitions and resource utilization in a premier academic medical center. Lead utilization review, discharge planning, and interdisciplinary coordination for high-acuity patients while ensuring compliance with EPIC documentation standards.

Requirements

  • ADN/BSN from an accredited program
  • Current and active New York State Registered Nurse (RN) license
  • Basic Life Support (BLS) certification required (current or willing to obtain)
  • Pediatric experience
  • Minimum of 1.5 years of recent experience (within the last 2 years) in an acute care hospital setting of similar size and complexity
  • Proven experience in hospital case management within an acute care environment

Nice To Haves

  • Proficiency in the EPIC Electronic Medical Records (EMR) system

Responsibilities

  • Conduct utilization reviews for appropriate care level/coverage
  • Coordinate discharge planning and post-acute care transitions
  • Document care coordination in EPIC
  • Ensure compliance with payer guidelines and regulations
  • Collaborate with ED teams for rapid case management
  • Analyze resource utilization trends and recommend improvements

Benefits

  • Sick leave

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What This Job Offers

Job Type

Full-time

Career Level

Mid Level

Education Level

Associate degree

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Based on current job postings on Teal, the average Rn Utilization Review salary in the US is approximately $104,000 per year, with a typical range of $63,000 to $183,000.

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