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Inpatient Utilization Management RN

Company: Nurse Practitioner
Location: Chestertown
Posted on: January 16, 2022

Job Description:

A full-time, permanent opportunity working at an acute care hospital in Maryland is now available as a Utilization Review Nurse.
The Utilization Review Nurse will work for a health system that continues to build, grow, invest in innovation and launch new programs so that patients in the community are able to access high-quality care. The Utilization Review Nurse will work at a state-of-the-art, award-winning 350+ bed short term acute care hospital in Maryland. Based on inpatient discharges, this hospital is one of the state’s busiest hospitals, plus U.S. News & World reports ranking it as one of the best hospitals in Maryland. The hospital also prides themselves on their commitment to community outreach, educational programs, maintaining high employee and patient satisfaction scores, and providing high quality, affordable healthcare to patients throughout Maryland, Washington DC and Vrirginia.
Joining the Hospital’s Care Coordination team, the Utilization Review Nurse provides a clinical review of cases using medical necessity criteria to determine the medical appropriateness of inpatient and outpatient services, collaborates as a team to ensure that medical records support the level of services being delivered, provides ongoing communication with the health plan, provider utilization and/or care coordination departments regarding medical necessity for prospective, concurrent, and retrospective reviews, and facilitates authorization process for admissions and continued stays along with appeals or the delivery of appeal instructions when denials occur. The Utilization Review Nurse should have previous experience with inpatient hospital utilization review, case management, or care coordination, and an active RN license.
The Utilization Review Nurse will work for a hospital located in Maryland with the ability to commute from the suburbs of Maryland or Washington DC. With a great work-life balance, the Inpatient Nurse Case Manager will enjoy an array of dining options, endless shopping, visiting historic museums and monuments, hiking on the nearby trails, or taking day trips to the beach.
The hospital is excited to welcome a Utilization Review Nurse to their team. The team is actively interviewing and preparing to offer a comprehensive compensation package to the Utilization Review Nurse which includes a competitive salary, full suite of medical, dental vision benefits, paid time off, tuition reimbursement, employee discount programs, pet insurance and more! Don’t wait, learn more and apply today!

Keywords: Nurse Practitioner, Baltimore , Inpatient Utilization Management RN, Healthcare , Chestertown, Maryland

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