Careers

Search Jobs Connect With Us

Inpatient Utilization Review Nurse

Job Attributes

Job Id:

17448

Job Category:

Clinical & Life Sciences

Job Location:

Baltimore, MD  20810

Security Clearance:

No Clearance

Business Unit:

Piper Companies

JOB DESCRIPTION

Piper Clinical Solutions is in search of a driven Inpatient Utilization Review Nurse in Baltimore, MD to support a local healthcare service provider.

Responsibilities for the Inpatient Utilization Review Nurse:

  • Provide utilization review and coordination to a wide variety of medical facilities for inpatient services which will vary per assignment
  • Ensure patients receive necessary, appropriate, and adequate care based on review of related medical information
  • Responsible for concurrent reviews including admission, continued stay, and short stay claims and ensure accurate and appropriate clinical documentation
  • Holds weekly meetings with associated facility Medical Directors
  • Conduct discharge planning as needed

Requirements for the Inpatient Utilization Review Nurse:

  • 3+ years acute care nursing required
  • Case Management or Utilization Management experience required
  • Knowledge of Milliman and Interqual
  • Current MD RN license
  • Associates in Nursing related field required (BSN preferred)

Compensation for the Inpatient Utilization Nurse:

  • Salary up to $85,000 based on qualification of skills
  • Benefits include Health/Dental/Vision coverage, PTO, Merit increases, Continued Education Assistance, 401K

 

Please send all qualified resumes to: dmanley@pipercompanies.com

 

Keywords:

Inpatient, utilization review, RN, registered nurse, acute care, medical, healthcare, concurrent review, health insurance, nurse, Advantage MD, USFHP, case manager, CCM, medicare, medicaid, post-pay, tri-care, MCO, continued stay, short stay, discharge, utilization

Apply Now

CONTACT INFORMATION (Required)
RESUME (Required)
No file selected
x
Formats accepted: .doc / .docx / .pdf / .txt
Don't have a resume? Click here to fill out a short form.

Copy/paste your resume inside the text editor below:

ADDITIONAL INFORMATION (Required)
WORK HISTORY (Required)
Add another experience (optional)
EDUCATION (Required)
Add another degree (optional)
SKILLS (Required)
Add another skill (optional)

The following error(s) occurred:

Please wait while your job application is being processed. This may take a few moments.
New Search

Job Id:

17448

Job Category:

Clinical & Life Sciences

Job Location:

Baltimore, MD  20810

Security Clearance:

No Clearance

Business Unit:

Piper Companies