Travel Nurse RN - Case Management

Company: GHR Healthcare
Location: Trenton
Posted on: February 27, 2026

Job Description:

Job 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. /n/n /n/nPlease 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 ghrhealthcare.com to learn more.

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