Utilization Review Nurse RN - PRN

Lifebridge Health • Baltimore, MD

134d • $50 - $50

About The Position

The PRN Utilization Review RN at Sinai Hospital works with stakeholders in the Revenue Cycle Management process and payors to ensure efficiency of utilization of resources, minimize losses and maximize reimbursement.

Requirements

• Education: BSN preferred; ADN required
• Licensure: Registered Nurse License - Current Maryland license or Compact Multistate License
• Experience: At least 2 years of experience in acute inpatient utilization review required
• Must Live in One of the Following Districts/States: District of Columbia, Maryland, Pennsylvania, Virginia, West Virginia

Responsibilities

• Medical necessity review of patient stays and referral to the physician advisor as needed
• Denial Management, including coordination with Case Management
• Monitor utilization of hospital resources

Benefits

• Competitive compensation (additional compensation such as overtime, shift differentials, premium pay, and bonuses may apply depending on job)
• Comprehensive health plans
• Free parking
• Wellness programs
• Opportunities for professional development, including tuition reimbursement and developing foundational skills for neonatal critical care leadership and advanced certification
• A culture of collaboration with resources like unit-based practice councils and advanced clinical education support

What This Job Offers

• Career Level: Mid Level
• Industry: Administrative and Support Services
• Education Level: Bachelor's degree