Company Description

Rangam is a global, innovative Total Talent management firm dedicated to accelerating meaningful employment for everyone. As a minority-, woman-, and disability-owned firm, Rangam has over 25 years of experience in promoting sustainable and inclusive talent programs. Our mission is to connect talent, communities, and employers through empathy, integrity, agility, inclusion, and innovation. We believe that all minds provide value and can contribute meaningfully.

Note: Candidates from NJ, NY, DE, CT or PA will be considered.

Also New Jersey RN Active License is required

Role Description

This is a remote contract role for a Utilization Review Nurse. The Utilization Review Nurse will be responsible for performing utilization management, reviewing medical records, coordinating discharge planning, and working collaboratively with healthcare providers. The nurse will ensure that patients receive appropriate care while optimizing the use of healthcare resources.

Who can apply:

• 2+ experience in Utilization Management/Prior Authorization/Case Review
• Nurses with active RN license in NJ.

Qualifications

• Utilization Management and Medical Records skills
• Prior authorization
• Case Management
• Expertise in Discharge Planning
• Background in Medicine and Nursing
• Strong analytical and critical thinking skills
• Excellent written and verbal communication skills
• Ability to work independently and remotely
• Experience in a healthcare or clinical setting is a plus
• Registered Nurse (RN) license required