Utilization Review RN - PT - Day - Utilization Resource Mgmt Pennington NJ
Capital Health (US) · Posted Jul 28, 2026
- Pennington, New Jersey, United States
- Full-time
- $39–$51 per hour
- 5+ years
Performs utilization and resource management activities to promote quality, clinical and cost effective outcomes.
Compensation
Pay Range: $39.40 - $51.47
Responsibilities
- Performs chart review of identified patients to identify quality, timeliness and appropriateness of patient care.
- Conducts admission reviews for Medicare, Medicaid beneficiaries, as well as private insurers and self pay patients, based on appropriate guidelines.
- Gathers clinical information to conduct continued stay utilization review activities with payers on a daily basis.
- Identifies, develops and implements strategies to reduce length of stay and resource consumption.
- Consults with medical staff, care team and case managers as necessary to resolve immediate progression of care barriers.
Requirements
- Associate's degree in nursing
- Nice to have: CPHQ
- Nice to have: CCM
- Nice to have: CPUR