Utilization Review Registered Nurse

RN – Utilization Review

Location: New York, NY
Schedule: Contract, 3 days/week (34.5 hours/week)
Start Date: October 26, 2026

We are seeking a Registered Nurse (RN) – Utilization Review to support home care operations in New York.

Responsibilities

• Perform utilization review and assess medical necessity and appropriateness of services.
• Review clinical documentation and identify opportunities for quality improvement.
• Collaborate with clinical and care management teams to support appropriate patient care.
• Apply utilization management and quality standards in a home care setting.

Qualifications

• Required: At least 1 year of non-acute utilization review experience.
• Required: Active New York State RN license.
• Required: AHA BLS certification.
• Required: Bachelor’s degree.
• RN experience in home care/community nursing preferred.
• Experience with quality improvement preferred.
• Strong English communication skills.

Hours: 34.5 hours/week

Job Types: Temporary, Contract

Pay: $58.00 - $60.00 per hour

Expected hours: 34.5 per week

Benefits:

• Relocation assistance

Experience:

• non-acute utilization review: 1 year (Required)

License/Certification:

• BLS Certification (Required)
• New York State RN License (Required)

Shift availability:

• Day Shift (Required)

Ability to Commute:

• New York, NY 10004 (Required)

Work Location: In person

Salary : $58 - $60