Know ATS Score
CV/Résumé Score
  • Expertini Resume Scoring: Our Semantic Matching Algorithm evaluates your CV/Résumé before you apply for this job role: Utilization Review RN.
United States Jobs Expertini

Urgent! Utilization Review RN Job Opening In Uniondale – Now Hiring Human Edge



Job description

Opportunity Description



Hybrid Utilization Review Nurse


Location: Uniondale, Long Island, Nassau County


Schedule: Monday to Friday, 8:30 AM - 5:30 PM







Company Information



Join our team as a Utilization Review Nurse in a hybrid role that offers a mix of in-office and remote work.

Based in Uniondale, Long Island, this position ensures the appropriate use of medical resources while delivering high-quality care management.







Job Duties



Conduct reviews to ensure proper utilization of medical services.


Evaluate patient records for service necessity and appropriateness.


Collaborate with healthcare providers to optimize outcomes.


Analyze clinical data to assess medical necessity.


Recommend actions using evidence-based guidelines.


Communicate with insurers to secure coverage and authorizations.


Maintain detailed documentation to meet compliance standards.


Participate in case management and care coordination meetings.








Experience & Skills Required



Active RN license in New York State.


At least 2 years of experience in utilization review.


Strong knowledge of medical terminology and healthcare services.


Excellent communication and interpersonal skills.


Self-starter with effective time management skills.


Proficiency with EHR systems and utilization management tools.


Detail-oriented with analytical and problem-solving expertise.









Benefits



Competitive salary


Comprehensive health benefits


Retirement plan


Flexible work environment


Professional development opportunities








Required Skill Profession

Healthcare Diagnosing Or Treating Practitioners



Your Complete Job Search Toolkit

✨ Smart • Intelligent • Private • Secure

Start Using Our Tools

Join thousands of professionals who've advanced their careers with our platform

Rate or Report This Job
If you feel this job is inaccurate or spam kindly report to us using below form.
Please Note: This is NOT a job application form.


    Unlock Your Utilization Review Potential: Insight & Career Growth Guide


  • Real-time Utilization Review Jobs Trends in Uniondale, United States (Graphical Representation)

    Explore profound insights with Expertini's real-time, in-depth analysis, showcased through the graph below. This graph displays the job market trends for Utilization Review in Uniondale, United States using a bar chart to represent the number of jobs available and a trend line to illustrate the trend over time. Specifically, the graph shows 4402 jobs in United States and 1 jobs in Uniondale. This comprehensive analysis highlights market share and opportunities for professionals in Utilization Review roles. These dynamic trends provide a better understanding of the job market landscape in these regions.

  • Are You Looking for Utilization Review RN Job?

    Great news! is currently hiring and seeking a Utilization Review RN to join their team. Feel free to download the job details.

    Wait no longer! Are you also interested in exploring similar jobs? Search now: .

  • The Work Culture

    An organization's rules and standards set how people should be treated in the office and how different situations should be handled. The work culture at Human Edge adheres to the cultural norms as outlined by Expertini.

    The fundamental ethical values are:
    • 1. Independence
    • 2. Loyalty
    • 3. Impartiality
    • 4. Integrity
    • 5. Accountability
    • 6. Respect for human rights
    • 7. Obeying United States laws and regulations
  • What Is the Average Salary Range for Utilization Review RN Positions?

    The average salary range for a varies, but the pay scale is rated "Standard" in Uniondale. Salary levels may vary depending on your industry, experience, and skills. It's essential to research and negotiate effectively. We advise reading the full job specification before proceeding with the application to understand the salary package.

  • What Are the Key Qualifications for Utilization Review RN?

    Key qualifications for Utilization Review RN typically include Healthcare Diagnosing Or Treating Practitioners and a list of qualifications and expertise as mentioned in the job specification. Be sure to check the specific job listing for detailed requirements and qualifications.

  • How Can I Improve My Chances of Getting Hired for Utilization Review RN?

    To improve your chances of getting hired for Utilization Review RN, consider enhancing your skills. Check your CV/Résumé Score with our free Tool. We have an in-built Resume Scoring tool that gives you the matching score for each job based on your CV/Résumé once it is uploaded. This can help you align your CV/Résumé according to the job requirements and enhance your skills if needed.

  • Interview Tips for Utilization Review RN Job Success
    Human Edge interview tips for Utilization Review RN

    Here are some tips to help you prepare for and ace your job interview:

    Before the Interview:
    • Research: Learn about the Human Edge's mission, values, products, and the specific job requirements and get further information about
    • Other Openings
    • Practice: Prepare answers to common interview questions and rehearse using the STAR method (Situation, Task, Action, Result) to showcase your skills and experiences.
    • Dress Professionally: Choose attire appropriate for the company culture.
    • Prepare Questions: Show your interest by having thoughtful questions for the interviewer.
    • Plan Your Commute: Allow ample time to arrive on time and avoid feeling rushed.
    During the Interview:
    • Be Punctual: Arrive on time to demonstrate professionalism and respect.
    • Make a Great First Impression: Greet the interviewer with a handshake, smile, and eye contact.
    • Confidence and Enthusiasm: Project a positive attitude and show your genuine interest in the opportunity.
    • Answer Thoughtfully: Listen carefully, take a moment to formulate clear and concise responses. Highlight relevant skills and experiences using the STAR method.
    • Ask Prepared Questions: Demonstrate curiosity and engagement with the role and company.
    • Follow Up: Send a thank-you email to the interviewer within 24 hours.
    Additional Tips:
    • Be Yourself: Let your personality shine through while maintaining professionalism.
    • Be Honest: Don't exaggerate your skills or experience.
    • Be Positive: Focus on your strengths and accomplishments.
    • Body Language: Maintain good posture, avoid fidgeting, and make eye contact.
    • Turn Off Phone: Avoid distractions during the interview.
    Final Thought:

    To prepare for your Utilization Review RN interview at Human Edge, research the company, understand the job requirements, and practice common interview questions.

    Highlight your leadership skills, achievements, and strategic thinking abilities. Be prepared to discuss your experience with HR, including your approach to meeting targets as a team player. Additionally, review the Human Edge's products or services and be prepared to discuss how you can contribute to their success.

    By following these tips, you can increase your chances of making a positive impression and landing the job!

  • How to Set Up Job Alerts for Utilization Review RN Positions

    Setting up job alerts for Utilization Review RN is easy with United States Jobs Expertini. Simply visit our job alerts page here, enter your preferred job title and location, and choose how often you want to receive notifications. You'll get the latest job openings sent directly to your email for FREE!