Utilization Review Case Manager, Care Coordination, Per Diem, Day

What you’d do

Performs concurrent utilization review to confirm appropriate level-of-care and medical necessity, working with physicians, payers and care coordination staff on admission status, length of stay and CMS/payer compliance. Per diem, day shift. Found on the employer's careers page on Oct 20, 2026. Apply through the link.

You’ll need

• Current RN license in New Jersey
• Case management and/or utilization review experience preferred
• Knowledge of medical necessity criteria
• Knowledge of CMS and payer reimbursement regulations