Registered Nurse – Utilization Review RNUR 0615 AR#01

Location: Syracuse NY 13210
Schedule: Day Shift
Duration: 14 Weeks

• Local Candidates: $2000 $2300 per week
• Traveler Candidates: $2500 $2800 per week

We are seeking an experienced Utilization Review Registered Nurse (RN) to support a fast-paced healthcare setting. This role involves reviewing patient cases across multiple levels of care to ensure medical necessity appropriate resource utilization and compliance with payer requirements.

• Perform a combination of Admission Continued Stay and Discharge reviews with a minimum productivity of 25 reviews per day
• Review cases across Medical Surgical and Behavioral Health populations (pediatric through adult)
• Evaluate patient care levels including:
  • Inpatient
  • Outpatient
  • Observation
  • Emergency
• Work with multiple payer types including:
  • Medicare & Managed Medicare
  • Medicaid & Managed Medicaid
  • Commercial Insurance
  • Workers Compensation & No-Fault
• Ensure accurate order and class alignment within the Epic EHR system throughout the patient stay
• Apply InterQual criteria for medical necessity and level-of-care determinations
• Utilize payer portals for authorization and review processes

• Active unrestricted New York State Registered Nurse (RN) license
• BLS certification (AHA required)
• Minimum 1.5 years of recent clinical experience
• Prior experience in acute care or hospital-based Utilization Review

• Hands-on experience with Epic Electronic Health Record (EHR)
• Familiarity with InterQual first-level screening
• Experience navigating and working with payer portals
• Strong analytical documentation and communication skills

For more details reach at or Call / Text at .

About Navitas Healthcare LLC: It is a Joint Commission Certified / WBENC and one of the fastest-growing healthcare staffing firms in the US providing Medical Clinical and Non-Clinical services to numerous hospitals. We offer the most competitive pay for every position we cater. We understand this is a partnership. You will not be blindsided and your salary will be discussed upfront.