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Inpatient Utilization Review Nurse

Job Attributes

Job Id:

19180

Job Category:

Clinical & Life Sciences

Job Location:

Anne Arundel, MD  21012

Security Clearance:

No Clearance

Business Unit:

Piper Companies

JOB DESCRIPTION

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

 

Responsibilities for the Inpatient Utilization Review Nurse:

 

  • Provide utilization review and coordination to a hospital facility 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
  • Work hand in hand with Physicians, Care Coordinators, and other members of the staff daily

 

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 $95,000 based on qualification of skills
  • Benefits include Health/Dental/Vision coverage, PTO, 401K

 

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

 

 

Keywords:

Inpatient, utilization review, RN, UR, 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, hospital, BSN, nurse, InterQual, Milliman, claims, cases, patients, electronic health record

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Job Id:

19180

Job Category:

Clinical & Life Sciences

Job Location:

Anne Arundel, MD  21012

Security Clearance:

No Clearance

Business Unit:

Piper Companies