Utilization Management Nurse - Emergency department

About the Role

Utilization Management Nurse in the Emergency Department conducting concurrent and retrospective chart reviews for clinical, financial, and resource utilization. Collaborates with care coordinators and providers to optimize patient outcomes and reduce delays.

Key Responsibilities

• Review medical records applying utilization criteria.
• Manage denial and appeals processes.
• Collaborate on care coordination to decrease length of stay.
• Participate in process improvement initiatives.

Requirements

• BSN or Associate degree in Nursing with equivalent experience.
• Current RN license in Maryland.
• Minimum 3 years acute care hospital nursing experience.

Benefits & Compensation

• Hourly pay range: $34 - $55.
• Medical, dental, vision insurance.
• Retirement plan with employer match.
• PTO, tuition assistance, referral bonuses.

Work Schedule

• Not explicitly stated.

This role offers a critical nursing position in a hospital setting with competitive hourly pay and comprehensive benefits.