RN - Utilization Review
East Elmhurst, NY
Prime Staffing
5x8 hrs
$2,868/weekOverview
- Start Date10/05/2026
- Shift Breakdown5x8 hrs
- Duration8 weeks
Pay
Description
About the Position
Specialty: RN – Utilization Review
Experience: 2+ years of experience in utilization review, case management, or acute care nursing
License: Active State or Compact RN License
Certifications: BLS – AHA; Certified Case Manager (CCM) preferred
Must-Have: Strong understanding of insurance guidelines, medical necessity criteria (e.g., InterQual or MCG), and discharge planning
Description: The Utilization Review RN is responsible for reviewing medical records to determine the appropriateness and medical necessity of hospital admissions and continued stays. The nurse collaborates with providers, insurance companies, and case managers to ensure compliance with coverage guidelines and supports optimal patient outcomes while managing healthcare costs.
Requirements
Required for Onboarding:
- Active RN License
- BLS
Employer
Prime Staffing
5 nurses recommend working with 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.
About Elmhurst, NY
As a Travel Utilization Review Nurse in Elmhurst, NY here's what you should know:- The cost of living in Elmhurst, NY is higher than the national average, particularly in terms of housing costs.
- Wages may be higher to match the cost of living.
- The average high in summer is around 85°F, and the average low in winter is around 28°F.
- Short term rentals can be found in Elmhurst, NY, but availability may vary.
- It's recommended to start the search early.
- Elmhurst, NY is car-friendly, but public transportation options such as buses and subways are also available for convenient commuting.
- Elmhurst, NY is a diverse community with a range of ages.
- Common health issues may include respiratory conditions due to urban air quality.
- There is a significant population of travel nurses in the area.
- Elmhurst, NY offers a variety of restaurants featuring diverse cuisines, and there are opportunities to explore art, music, and sports.
- Outdoor enthusiasts can enjoy nearby parks and recreational activities.
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