Travel Utilization Review Registered Nurse
7 days ago
Pennington
GHR Healthcare - PH Division is seeking a travel nurse RN Case Management for a travel nursing job in Pennington, New Jersey. Job Description & Requirements • Specialty: Case Management, • Discipline: RN, • Start Date: 01/05/2026, • Duration: 13 weeks, • 36 hours per week, • Shift: 12 hours \n Advance your nursing career as a Utilization Review Registered Nurse (RN) in Pennington, New Jersey (08534). This on-site healthcare job offers the opportunity to make a direct impact on patient care quality and resource management in a supportive clinical environment. Join our healthcare team and help ensure patients receive the right level of care in Central New Jersey.\n \n\nCompensation\n\n • Hourly Pay Rate: $88.35\n, • Estimated Weekly Salary Range: $1,990 - $2,130\n\n\nUtilization Review RN Job Details\n\n, • Location: On-site, Pennington, NJ (08534) – Central New Jersey healthcare jobs\n, • Schedule: 12-hour shifts (7:30am–8:00pm or 8:00am–8:30pm)\n, • Shifts per Week: 3 (36 hours/week)\n, • Weekend Requirement: Every 3rd weekend\n, • Holiday Requirement: 1 holiday per season\n, • Assignment Duration: 13 weeks, with potential for extension\n, • Dress Code: Business attire; scrubs permitted only with a white scrub jacket\n\n\nRegistered Nurse Qualifications\n\n, • Associate's Degree in Nursing required; BSN preferred\n, • Graduate of an accredited nursing program\n, • Active New Jersey Registered Nurse (RN) license\n, • Minimum 5 years of clinical nursing experience\n, • 2-3 years of experience in utilization review, denial management, or quality management (must be able to step in with minimal training)\n, • Strong knowledge of Utilization Review (UR) guidelines; MCG preferred\n, • Proficiency with Microsoft Office, Electronic Medical Records (EMR), and UR software\n, • Excellent communication and problem-solving skills for collaboration with physicians, payers, and care teams\n, • Preferred certifications: CPHQ, CCM, ACM, or CPUR\n\n\nUtilization Review Nurse Responsibilities\n\n, • Perform concurrent review of patient charts with a focus on level-of-care determinations from the Emergency Department\n, • Communicate with payers regarding admissions, continued stays, and denials\n, • Document utilization review activities, barriers, and care progression\n, • Develop strategies to reduce avoidable days and unnecessary resource utilization\n, • Collaborate with physicians, case managers, and other healthcare stakeholders to ensure appropriate utilization of resources\n, • Maintain up-to-date knowledge of CMS regulations and payer guidelines\n Planet Healthcare Job ID #439687. Pay package is based on 12 hour shifts and 36 hours per week (subject to confirmation) with tax-free stipend amount to be determined. Posted job title: Case Management About GHR Healthcare - PH Division For over 30 years, GHR Healthcare has been the bridge between healthcare professionals and the facilities that need them nationwide. We're committed to uncovering your ideal fit, supported by GHR's dedication to competitive compensation, transparent communication, and a devoted team that genuinely cares about your career journey. You can trust us to stand by your side as your advocate, confidante, and partner in advancing your career. At GHR, care and consideration are at the heart of everything we do. Visit ghrhealthcare.com to learn more.