Jobs search

JOB DETAILS

Utilization Review Nurse, RN

Christian Health • Full-time • Wyckoff, NJ, US • 2w ago

JOB SUMMARY

About Christian Health:We have had the privilege of caring for those in need for more than a century. Founded on the belief that everyone has the right to exceptional care, today we continue to provide quality care and services for our many residents, patients, and clients. Caring is not simply what we do, it is who we are.

Why Join Our Team:Across our three campuses, ten communities, three service offerings, and hospital, we are ultimately one unified team. Together, we nurture a compassionate, collaborative culture that enables continuous improvement and allows our team members to learn, grow, and shine in their careers. Surround yourself with people who care about making a difference – come join us!

We have an exciting opportunity for a Utilization Review Nurse to work in Ramapo Ridge Behavioral Health (RRBH). The Utilization Review Nurse promotes effective utilization and monitoring of health care resources to achieve desired clinical, financial and resource outcomes. Verifies all insurance coverage eligibility, benefit details, pre certification/authorization requirements and billing/claims instructions. Ensures accurate insurance data is available in the medical record. Works collaboratively with the interdisciplinary treatment team to review all managed care medical record documentation for compliance as required in a timely manner. Ensures that medical record documentation for patients admitted to RRBH meets medical necessity criteria for each level of care. Provides for timely and accurate clinical reviews as required to ensure compliance with managed care organizations. Follows up and assesses any managed care denials for risk/benefit of appeal. Demonstrates an understanding of, and embraces, the mission statement of the Christian Health.

Schedule: Full-time Monday - Friday 8am – 4pm

Education: Graduate of an accredited school of nursing. Valid RN license in New Jersey required. Bachelor's degree in nursing preferred.

Christian Health offers a wide variety of benefits to full-time employees that includes Health Insurance, a Dental Program, Paid Vacation and Holidays, 401k, Life Insurance, Tuition Reimbursement, Employee Assistance Program and Direct Deposit.

Related Jobs

Registered Nurse (RN)

IntelyCare • Per Diem • Bloomingdale, NJ, US • $44 - $66 / hour • 1d ago

Make an hourly rate of up to $66 as a Registered Nurse (RN) in the borough of Bloomingdale, New Jersey, and throughout the region, with the ability to set your own work schedule. At IntelyCare, we fully support work... more

1d ago

VIEW JOB

Registered Nurse (RN)

IntelyCare • Per Diem • Totowa, NJ, US • $44 - $66 / hour • 1d ago

Get paid up to $66 an hour as a Registered Nurse (RN) in Totowa, NJ (and surrounding areas), with a W2 job that lets you set your own schedule. That's right, at IntelyCare, you not only get the employee benefits, op... more

1d ago

VIEW JOB

Registered Nurse (RN)

IntelyCare • Per Diem • Wayne, NJ, US • $44 - $66 / hour • 1d ago

Now you can get paid up to $66 per hour as a Registered Nurse (RN) in Wayne, New Jersey, and throughout the region, with the work-life balance that flexible schedules allow. Nursing professionals at IntelyCare are h... more

1d ago

VIEW JOB

Registered Nurse (RN)

IntelyCare • Per Diem • Clifton, NJ, US • $44 - $66 / hour • 1d ago

Get paid an hourly rate of up to $66 as a Registered Nurse (RN) in Clifton, NJ (and surrounding areas) with a fully flexible schedule plus the benefits and support of a W2 job. At our nurse-founded company you get t... more

1d ago

VIEW JOB

Registered Nurse (RN)

IntelyCare • Per Diem • Tenafly, NJ, US • $44 - $66 / hour • 1d ago

Earn an hourly rate of up to $66 as a Registered Nurse (RN) in Tenafly, NJ (and nearby areas) with W2 benefits and a fully flexible schedule that you control. By flexible, we mean that you get to decide when and whe... more

1d ago

VIEW JOB

Registered Nurse (RN)

IntelyCare • Per Diem • Oradell, NJ, US • $44 - $66 / hour • 1d ago

Earn an hourly rate of up to $66 an hour as a Registered Nurse (RN) in Oradell, NJ (and the wider region), with a W2 job that lets you decide when, where, and how frequently you work. Our nurse founders understood t... more

1d ago

VIEW JOB

Registered Nurse (RN)

IntelyCare • Per Diem • Paramus, NJ, US • $44 - $66 / hour • 1d ago

You can make up to $66 an hour as a Registered Nurse (RN) in Paramus, NJ (and nearby areas) while enjoying the benefits of W2 employment and a fully flexible schedule that you control. Our nurse founders created a c... more

1d ago

VIEW JOB

Registered Nurse (RN)

IntelyCare • Per Diem • Westwood, NJ, US • $44 - $66 / hour • 1d ago

Make an hourly rate of up to $66 as a Registered Nurse (RN) in Westwood, New Jersey, and surrounding areas, with the peace of mind that comes from truly flexible schedules. Nursing professionals at IntelyCare have t... more

1d ago

VIEW JOB

Registered Nurse (RN)

IntelyCare • Per Diem • West Orange, NJ, US • $44 - $66 / hour • 1d ago

Achieve work-life balance with flexible schedules and make up to $66 per hour as a Registered Nurse (RN) in West Orange, New Jersey, and throughout the area. At IntelyCare, we value a balanced and dedicated staff. T... more

1d ago

VIEW JOB

Registered Nurse (RN)

IntelyCare • Per Diem • Woodcliff Lake, NJ, US • $44 - $66 / hour • 1d ago

Earn an hourly rate of up to $66 as a Registered Nurse (RN) in Woodcliff Lake, NJ (and nearby locations), as a W2 employee with the freedom to work when, where, and however often you want. That's right, at IntelyCar... more

1d ago

VIEW JOB