Utilization Review Nurse (RN)

University of Maryland Medical System • Towson, MD

2d • $40 - $51 • Hybrid

About The Position

When you come to the University of Maryland St. Joseph Medical Center, you’re coming to more than simply a beautiful 37-acre, 218-bed suburban Baltimore, Maryland campus. You’re embarking on a professional journey that encourages opportunities, values a team atmosphere, and makes convenience and flexibility a priority. Joining our team of healthcare professionals means you’ll be contributing to a locally and nationally recognized institution. UM St. Joseph has been recognized by The Leapfrog Group as a grade ‘A’ hospital and by U.S. News & World Report as #3 in both the state and Baltimore Metro area, making UM St. Joseph the highest-ranking community hospital in Maryland. In addition, we’ve been consistently recognized as a top employer by Baltimore magazine. Work Schedule 8:00am - 4:30pm - Full time hybrid position with weekend rotation required. The Utilization Review Nurse (RN) coordinates the care and service of selected patient populations across the continuum. He/ she works collaboratively with physicians and other members of the health care team to achieve the highest quality clinical outcomes with the most cost effective use of available resources. The Utilization Review Nurse (RN) assumes responsibility for an interdisciplinary process which assesses, plans, implements, monitors and measures the effectiveness of interventions to meet patients’ treatment and transitional needs.

Requirements

• 2 year / Associate’s Degree (Required)
• High School Diploma or GED (Required)
• State Registered Nurse License (Required)
• 2 - 4 years Familiarity with health care reimbursement systems (Required)
• 4 - 6 years Acute care hospital or similar venue. (Required)
• Strong Verbal Communications Skills
• Strong Written Communications Skills
• Excellent Interpersonal Skills
• Medical Terminology

Nice To Haves

• 4 year / Bachelor’s Degree (Preferred)
• MCG Or InterQual experience (Preferred)
• CCM Case Management Certification (Preferred)
• 2 - 4 years Case management, discharge planning or utilization management (Preferred)

What This Job Offers

• Job Type: Full-time
• Career Level: Mid Level
• Education Level: Associate degree
• Number of Employees: 1,001-5,000 employees