Travel Nurse RN - Utilization Review Job at Prime Staffing, Pennington, NJ

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  • Prime Staffing
  • Pennington, NJ

Job Description

Job Description

Prime Staffing is seeking a travel nurse RN Utilization Review for a travel nursing job in Pennington, New Jersey.

Job Description & Requirements
  • Specialty: Utilization Review
  • Discipline: RN
  • Start Date: 11/03/2025
  • Duration: 13 weeks
  • 36 hours per week
  • Shift: 12 hours, days
  • Employment Type: Travel

Position Summary

The Utilization Review RN conducts concurrent reviews with a strong focus on level-of-care determinations from the Emergency Department (ED gatekeeping) . This role ensures patients receive appropriate levels of care while supporting compliance, resource efficiency, and quality outcomes.

Minimum Requirements
  • Education: Associate’s Degree in Nursing (BSN preferred). Graduate of an accredited nursing program.
  • License: Current NJ Registered Nurse license.
  • Experience:
    • 5 years of clinical nursing experience.
    • At least 2–3 years in utilization review, denial management, or quality management (must be able to step in with minimal training).
  • Certifications (Preferred): CPHQ, CCM, ACM, or CPUR.
  • Skills:
    • Strong knowledge of UR guidelines (MCG preferred).
    • Proficiency in Microsoft Office, EMR, and UR software.
    • Effective communication and problem-solving skills for working with physicians, payers, and care teams.
About Prime Staffing

At Prime Staffing, we understand the importance of finding the perfect fit for both our clients and candidates. Prime Staffing utilizes a unique matchmaking approach, providing the most qualified contingent staffing to our clients, and the most competitive contracts to our workforce. Our experienced team takes the time to get to know both our clients and candidates, their needs, and preferences, to ensure that each placement is a success.

We offer a wide range of staffing services including temporary, temp-to-perm, and direct hire placements. Our extensive network of qualified candidates includes nurses, allied healthcare professionals, corporate support professionals and executives.

Job Tags

Permanent employment, Temporary work, Work at office, Shift work,

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