Travel Nurse RN - Case Management - 2,432 per week - Trenton - GHR Healthcare

    GHR Healthcare
    GHR Healthcare Trenton

    6 days ago

    Description
    GHR Healthcare is seeking a travel nurse RN Case Management for a travel nursing job in Trenton, New Jersey.
    Job Description & Requirements


    Specialty:
    Case Management

    Discipline:
    RN

    Start Date:
    03/30/2026

    Duration:
    13 weeks
    36 hours per week

    Shift:
    12 hours, days

    Employment Type:
    Travel

    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.

    Medical, Dental, Vision, and 401K offered.

    Please call or text Liv at

    or send your resume directly to
    About GHR Healthcare

    For over 30 years, GHR Healthcare has been the bridge between healthcare
    professionals and the facilities that need them nationwide. We're committed to
    uncovering your ideal fit, supported by GHR's dedication to competitive
    compensation, transparent communication, and a devoted team that genuinely
    cares about your career journey. You can trust us to stand by your side as your
    advocate, confidante, and partner in advancing your career. At GHR, care and
    consideration are at the heart of everything we do. Visit to
    learn more.
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