Utilization Review Nurse, PRN
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Job Location:
Bel Air, MD - USA
Monthly Salary:
Not Disclosed
Posted on:
30+ days ago
Vacancies:
1 Vacancy
Job Summary
Responsible for performing utilization management. Proactively review identify and document potentially avoidable utilization and patient quality/efficiency concerns. Work collaboratively with internal team as well as external entities to reduce potentially avoidable utilization and denials. Evaluates utilization documentation and recommends processes related to optimal reimbursement and compliance. Perform compliance tasks related to utilization.
Qualifications :
Education & Training: Current Maryland RN license required. Bachelors of Science degree in Nursing preferred.
Work Orientation & Experience:
Minimum of 3 years acute care experience required. Experience in utilization management case management and discharge planning preferred. Basic computer skills required.
Skills & Abilities:
Demonstrate skill in a) performing complete clinical assessments; b) effective critical thinking skills both written and oral; and c) age appropriate interpersonal interactions (patients may range from newborn to geriatric adult.)
Ability to a) communicate and collaborate effectively with both internal and external customers (colleagues Medical Staff liaisons and patient/family); b) assess adapt and calmly respond to changing and/or crisis environment; c) make independent decisions consistent with current policies procedures and ethical standards; d) prioritize work assignments and manage time effectively to complete duties; and e) assist in data analysis.
Additional Information :
Skills & Abilities:
- Demonstrates proficiency in clinical case management conducting comprehensive assessments and utilizing effective critical thinking skills both in writing and verbally.
- Exhibits age-appropriate interpersonal interactions with patients ranging from newborns to geriatric adults.
Abilities:
- Communicates and collaborates effectively with internal and external customers including colleagues medical staff liaisons and patients/families.
- Assesses adapts and responds calmly to changing or crisis situations.
- Makes independent decisions in line with current policies procedures and ethical standards.
- Prioritizes work assignments and manages time efficiently to complete tasks.
- Assists in data analysis.
All your information will be kept confidential according to EEO guidelines.
Compensation:
Pay Range: 43.26
Other Compensation (if applicable): n/a
Review the 2025-2026 UMMS Benefits Guide
Remote Work :
Yes
Employment Type :
Part-time
Key Skills
- EMR Systems
- Hospital Experience
- Acute Care
- ICU Experience
- Dermal Fillers
- Experience Administering Injections
- Home Care
- Nursing
- Botox Experience
- Critical Care Experience
- Medication Administration
- Tube Feeding
About Company
When you come to the University of Maryland St. Joseph Medical Center, youre coming to more than simply a beautiful 37-acre, 218-bed suburban Baltimore, Maryland campus. Youre embarking on a professional journey that encourages opportunities, values a team atmosphere, and makes conv ... View more
