Registered Nurse - Utilization Review

Trinity Health • Silver Spring, MD

18h • $41 - $61 • Remote

About The Position

The Case Manager is responsible for implementing comprehensive case management activities for patients of all age groups. This role promotes continuity and coordination of care, ensures accurate clinical documentation, and supports post-hospital planning. The Case Manager also monitors and manages clinical resource utilization, working to optimize both cost efficiency and reimbursement while maintaining a high standard of patient-centered care.

Requirements

• RN licensed by the State of Maryland or Compact State license.
• 2-4 years of hospital case management experience preferred.
• ASN required, BSN preferred

Nice To Haves

• CCM certification preferred

Responsibilities

• Provides patient and family education about disease management and expected outcomes
• Implements case management activities for all age groups that promote continuous improvement in the coordination of care (birth to geriatric)
• Monitor and manage clinical resource consumption, ensures clinical documentation is accurate
• Provide continuity of care and post hospital planning in order to optimize cost efficient resource utilization and reduce re-hospitalization.

Benefits

• Comprehensive benefit packages available for FT/PT, including medical, dental, vision, mental health, paid time off, 403B, education assistance and voluntary benefits (pet insurance, accident insurance, hospital indemnity and others) available from first day of employment.
• Work/Life balance with flexible schedules.
• Free onsite parking.

What This Job Offers

• Job Type: Full-time
• Career Level: Mid Level
• Education Level: Associate degree
• Number of Employees: 5,001-10,000 employees