Utilization Management Nurse Day Shift
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Job Location:
Elkton, MD - USA
Monthly Salary:
$ 85862 - 137384
Posted on:
16 hours ago
Vacancies:
1 Vacancy
Job Summary
Job Details
Mon - Fri (Hours: 8 a.m. to 4:30 p.m.) Weekend requirements based on unit needs.
Elkton MD
ChristianaCare - Union Hospital is seeking Utilization Management Nurse with experience in Utilization Management and Acute Care. The RN will be responsible for ensuring the delivery of efficient and effective health care while evaluating the medical necessity appropriateness and efficiency of the use of health care services procedures and facilities under the provision of the applicable health benefits plan.
SCOPE PURPOSE AND FREQUENCY OF CONTACTS:
Ongoing contact with patient/families medical-dental staff nursing social work PI-outcome coordinators disease management and ancillary services; additional contact with home health care providers durable medical equipment providers insurance/managed care organizations and community resources.
EDUCATION AND EXPERIENCE REQUIREMENTS:
- Cecil County - Active MD RN licensure or compact state RN licensure in good standing.
- DE RN licensure or compact state RN licensure in good standing.
- BSN lieu of BSN at least six years of experience as a Registered Nurse in Clinical Documentation Performance Improvement Case Management or Utilization Management experience required.
- Minimum of 5 years recent experience as a Registered Nurse in acute care adult care setting.
- Registered RN licensed to practice in the State of DE and/or MD required
- Completes a minimum of 8 continuing education credits (CEUS) per year in Utilization and/or Case Management.
- Actively participates in department operational planning work groups.
KNOWLEDGE SKILL AND ABILITY REQUIREMENTS:
Strong interpersonal skills relative to both professional and lay interactions. Strong organizational skills. Working knowledge of Performance Improvement activities. Working knowledge of data management/reporting practices
PHYSICAL DEMANDS:
Ability to ambulate within the hospital setting (walking stairs etc.). Occasional sitting standing and lifting loads of 5-10 pounds. Ability to utilize computer equipment/programs
Christiana Care Health System is an equal opportunity employer firmly committed to prohibiting discrimination whose staff is reflective of its community and considers qualified applicants for open positions without regard to race color sex religion national origin sexual orientation genetic information gender identity or expression age veteran status disability pregnancy citizenship status or any other characteristic protected under applicable federal state or local law.
Post End Date
Feb 20 2026EEO Posting Statement
ChristianaCare offers a competitive suite of employee benefits to maximize the wellness of you and your family including health insurance paid time off retirement an employee assistance program. To learn more about our benefits for eligible positions visit Experience:
IC
Key Skills
- Quality Analysis
- Facility
- ISO
- Inventory Levels
- Root cause Analysis
- Shift operations
- General Maintenance
- Daily Operations
- Supervision
- Analysis
- PLC
- Safety Standards
- Quality Standards
- Time management skills
- Troubleshooting
