Location & Practice Overview

The position is located in Trenton, New Jersey, and operates within a utilization and care-management framework rather than a traditional hospital unit or bedside setting.

Location Trenton, New Jersey
Practice Type Utilization and care-management support
Placement Model Staffing assignment through Integrated Resources, Inc

Responsibilities

  • Compare each patient’s clinical presentation with established guidelines to verify that the assigned level of care and length of stay are appropriate for an inpatient stay.
  • Review medical services and procedures for necessity, appropriateness, and efficiency.
  • Assist with implementation of the member’s plan of care and track services provided outside the network or outside the local area, including fee negotiation when indicated.
  • Communicate with the patient, family members, physicians, hospital personnel, and other external contacts regarding care appropriateness from diagnosis to outcome.
  • Support delivery of care that follows the organization’s clinical practice guidelines across the full range of services the member receives.

Qualifications & Requirements

Applicants must meet the education, licensure, and experience thresholds listed below. Additional knowledge areas are preferred.

Education
Associate’s or bachelor’s degree (or higher) in nursing or a health-related field, or completion of an accredited diploma nursing program
License
Active New Jersey Registered Nurse license
Experience
At least two years of clinical nursing experience
Preferred Knowledge
Familiarity with case or care-management principles, utilization-management principles, health-care contracts, benefit eligibility, hospital structures, and payment systems
Technical Preference
Comfort with Windows-based computers, MS Office applications, Lotus Notes, and standard intranet or internet tools

Compensation & Benefits

  • Compensation: $85,000–$105,000 per year
  • Benefit details are not listed in the available posting

Schedule & Work Environment

Employment Status Full-time
Hours and Shifts Specific daily hours, weekend coverage, and on-call expectations are not stated in the posting
Environment Office- or review-based utilization work rather than direct inpatient unit staffing

Patient Population & Clinical Setting

The RN works with health-plan members whose cases involve inpatient admission or related covered services and who may require coordination as they move between care settings.

Member Group Individuals receiving or being considered for inpatient-level services
Service Span Cases that may extend from initial diagnosis through discharge and follow-up
Geographic Reach Includes members receiving care both inside and outside the local network area

Clinical Focus & Key Services

The professional content of the role centers on structured review processes and coordinated planning rather than hands-on clinical procedures.

Guideline-Based Review Application of published criteria to admission and continued-stay decisions
Service Evaluation Examination of ordered tests, treatments, and procedures for alignment with coverage standards
Transition Support Planning that bridges inpatient episodes with subsequent levels of care

Role Highlights

Several features distinguish this assignment from conventional staff-nurse positions.

  • Primarily non-bedside clinical decision work focused on review and planning
  • Direct interaction with both treating providers and external network contacts
  • Placement arranged through a Joint Commission-certified healthcare staffing firm

About Integrated Resources, Inc

Integrated Resources, Inc. (IRI) is a staffing organization established in 1996 and based in Edison, New Jersey. It supplies contract, consulting, and permanent professionals to clients in healthcare, life sciences, information technology, and related fields. The firm holds Joint Commission certification for Health Care Staffing Services and is recognized as a Minority Business Enterprise.

Year Founded 1996
Headquarters Edison, New Jersey
Primary Services Healthcare, life-sciences, and technology staffing
Accreditation Joint Commission Gold Seal for Health Care Staffing Services
Business Designation Minority Business Enterprise (MBE)

Frequently Asked Questions

Does this role involve direct patient care at the bedside?
No. The position centers on clinical review, guideline application, and coordination activities rather than hands-on bedside nursing.
Is prior utilization-review experience required?
The posting requires a minimum of two years of clinical nursing experience. Knowledge of utilization-management or care-management principles is listed as preferred, not mandatory.
What education level is accepted?
An associate’s or bachelor’s degree in nursing or a health-related field, or graduation from an accredited diploma nursing school, meets the stated requirement.
Are specific computer skills required?
Proficiency with Windows-based systems, MS Office products, Lotus Notes, and standard internet applications is preferred.
Is the work schedule detailed in the posting?
The posting identifies the role as full-time but does not list exact shift times, weekend expectations, or on-call requirements.

Registered Nurse - Utilization Management in Trenton, NJ

Integrated Resources, Inc. is seeking a Registered Nurse for a full-time utilization-management assignment in Trenton, New Jersey. Candidates must hold an active New Jersey RN license, possess an associate’s or bachelor’s degree in nursing or a related field (or a diploma from an accredited nursing school), and bring at least two years of clinical experience. Daily responsibilities include matching patient clinical data against established guidelines to confirm appropriate inpatient level of care and length of stay, evaluating ordered services and procedures, assisting with care-plan implementation, tracking out-of-network or out-of-area services, and communicating with patients, families, physicians, and hospital staff from diagnosis through outcome. The work remains non-bedside and centers on structured review and coordination across the member’s continuum of services. Preferred background includes familiarity with care-management and utilization principles, health-care contracts, benefit rules, hospital payment systems, and common office software. Compensation is listed at $85,000–$105,000 per year; benefit details are not provided in the current posting. The assignment is arranged through a Joint Commission-certified staffing firm headquartered in Edison, New Jersey.

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