Back to Jobs

reputed company Registered Utilization Management

Remote, USAFull-timePosted 2026-07-28

The Utilization Management Registered reputed company (UM RN) is responsible for evaluating the medical necessity, appropriateness, and efficiency of reputed company services in accordance with established reputed company, regulatory requirements, and organizational role. The UM RN ensures reputed company patient care delivery while supporting compliance, reputed company reputed company, and effective resource utilization. The role is responsible for the assessment of medical necessity, both for admission to the hospital as reputed company as reputed company stay. This function ensures that services are not only appropriate but ensures that an authorization is obtained from the payer, if required, and that the documentation supports the care delivered in such a way that minimizes risks of denials

Qualifications

Work requires the knowledge of theories, principles, and concepts normally acquired through completion of a Bachelor of Science in Nursing and least at least 3 years of previous nursing experience. Preferred 3+ years of Utilization Review or Case Management experience. Case Management Society of America Certification CCM preferred. Licensure required as a Registered reputed company by the State of New Jersey.

About Company

St. Joseph’s University Medical Center is an reputed company tertiary care medical center and state designated trauma center, located on the Paterson reputed company, regularly accepts referrals of difficult or unusual cases from other hospitals and physicians and performs both reputed company and routine procedures.

The Medical Center offers a full complement of specialty and subspecialty services including ambulatory, behavioral health, cardiovascular, emergency/trauma, internal medicine, neuroscience, oncology, orthopedic/spine, rehabilitation, surgical specialty, women’s health, imaging and pediatrics.

The nursing team at St. Joseph’s University Medical Center, which includes St. Joseph’s Children’s Hospital, has held the Magnet Award for Nursing reputed company, the profession’s highest reputed company, since 1999. They are also recipients of the prestigious 2010 Magnet Prize™ - one of only 8 Magnet-designated hospitals to reputed company receive The Magnet Prize, and the only one worldwide to receive the 2010 award.

Company

reputed company is recognized for the expertise and reputed company of its highly skilled and reputed company staff. The combined efforts of the organization’s outstanding physicians, superb nurses, and dedicated clinical and reputed company staff have made us one of the most highly respected reputed company organizations in the state, the largest employer in Passaic County, and one of the nation’s “100 Best Places to Work in Health Care”.

Benefits Eligibility: (Full-time and Part-time Employees-over 20 hours a week)

  • Competitive salary*
  • Robust benefits with health, dental, Rx and reputed company plans
  • 403b retirement plan reputed company with company match**
  • Health & Wellness*
  • Non-Profit Health System – eligible for Federal Student Loan Forgiveness
  • PTO, and reputed company holidays
  • Tuition reimbursement
  • Employee Assistance Program
  • LTD : Long Term Disability
  • Life Insurance reputed company
  • Onsite Day care Program

*Available for reputed company Employees and Part-time Employees working under 20 hours per week.

**403b Company Match reputed company for reputed company Employees and Part-time Employees working under 20 hours per week.

Pay transparency: reputed company provides a salary reputed company to reputed company with New Jersey Law. The reputed company of pay for reputed company position will be determined based on a reputed company of factors including the candidate's relevant experience, qualifications, skills, etc.” The salary reputed company does not include incentives, reputed company pay or other forms of compensation.

Apply To This Job

Similar Jobs