TalentBurst, Inc is seeking a travel nurse RN Case Management for a travel nursing job in Pennington, New Jersey.
Job Description & Requirements
Registered Nurse - Case Manager
Pennington, NJ
Guaranteed Hour : 36
Time Type : 8 : 00am-8 : 30pm (8 : 00 AM - 8 : 30 PM)
Additional Information
Job Title : Utilization Review RN
Location : Onsite – New Jersey
Schedule : 12-hour shifts (7 : 30am–8 : 00pm or 8 : 00am–8 : 30pm)
Every 3rd weekend required
1 holiday per season
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.
Key Responsibilities
Conduct concurrent review of patient charts.
Communicate with payers regarding admissions, continued stay, and denials.
Document utilization activities, barriers, and care progression.
Identify strategies to reduce avoidable days and unnecessary resource use.
Collaborate with physicians, case managers, and other stakeholders to ensure proper utilization.
Stay up to date with CMS regulations and payer guidelines.
Participate in daily huddles, care team meetings, and performance improvement initiatives.
Dress Code
Business attire is required.
Scrubs are permitted only when worn with a white scrub jacket.
Preference is for business attire, as wearing scrubs may confuse patients and lead to requests for clinical tasks outside the UR role.
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Talent Burst Job ID #25-48350. Pay package is based on 12 hour shifts and 36 hours per week (subject to confirmation) with tax-free stipend amount to be determined. Posted job title : Registered Nurse - Case Manager
About TalentBurst, Inc
TalentBurst Health & Life Sciences is an established provider of healthcare workforce solutions, servicing healthcare facilities across the United States for over 15 years. As a Joint Commission Certified Agency, our commitment to quality, integrity, and exceptional service has made us a trusted name in the healthcare staffing landscape.
Our mission is to bridge the gap between healthcare professionals seeking fulfilling opportunities and healthcare organizations striving to maintain their high standards of care. We are committed to providing top-notch healthcare professionals with access to facilities where they can focus on delivering exceptional patient care and thrive.
Whether you're a nurse, allied health professional, or administrative personnel, we have the expertise to match your skills and aspirations with the perfect placement.
Travel Nurse Rn Case Management • Pennington, NJ, United States