Utilization Review Nurse RN - PRN
| Estimated Pay info | Based on similar jobs in your market$40 per hour |
|---|---|
| Hours | Full-time, Part-time |
| Location | Owings Mills, MD 21117 Owings Mills, Maryland open_in_new |
About this job
Job Description
Sinai Hospital's Utilization Review operates as a distinct specialty service line of physician advisors, nurses, and support staff who ensure hospital stays are clinically appropriate and fully covered by the patient's insurance. The team focuses on appropriate resource use, operational efficiency, and timely patient services while maintaining or improving quality of care.
\nAbout the Role/Unit:
\nThe 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.
\n*This PRN position supports the ED and will be scheduled based on the needs of the dept.*
\nKey Responsibilities:
\n\n- \n
- Medical necessity review of patient stays and referral to the physician advisor as needed \n
- Denial Management, including coordination with Case Management \n
- Monitor utilization of hospital resources \n
Requirements:
\nEducation: BSN preferred; ADN required
\nLicensure: Registered Nurse License - Current Maryland license or Compact Multistate License
\nExperience: At least 2 years of experience in acute inpatient ED utilization review required
\n\nMust Live in One of the Following Districts/States: District of Columbia, Maryland, Pennsylvania, Virginia, West Virginia
\n\n\nPay Range: $50.00 to $50.00
\nBenefits:
\nMedical, dental, and vision coverage starting the first of the month after hire, plus wellness programs and mental health support
\n403(b) retirement plan with employer match, pension, and life and disability insurance
\nTuition reimbursement toward advanced degrees and specialty certifications
\nGenerous paid time off, fitness discounts, and free on-site parking
\nAbout Sinai Hospital
\nSinai Hospital of Baltimore is a nationally recognized academic medical center, a designated Level II Trauma Center, and the largest community hospital in Maryland. As part of LifeBridge Health - one of the region's most comprehensive healthcare systems - Sinai delivers advanced care with a mission to improve the health of the communities we serve, and to take care of the people who take care of patients.
\n\nAbout LifeBridge Health
\n \nLifeBridge Health is a dynamic, purpose-driven health system redefining care delivery across the mid-Atlantic and beyond, anchored by our mission to "improve the health of people in the communities we serve." Join us to advance health access, elevate patient experiences, and contribute to a system that values bold ideas and community-centered care.
\nWith over 14,000 employees, 130 care locations, and two million annual patient encounters, we combine strategic growth, innovation, and deep community commitment to deliver exceptional care anchored by five leading centers in Maryland.
\nOur organization thrives on a culture of CARE BRAVELY-where compassion, courage, and urgency drive every decision, empowering teams to shape the future of healthcare.
\nLifeBridge Health complies with applicable Federal civil rights laws and does not discriminate on the basis of race, color, national origin, age, disability, sex or sexual orientation and gender identity/expression. LifeBridge Health does not exclude people or treat them differently because of race, color, national origin, age, disability, sex or sexual orientation and gender identity/expression.
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