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Utilization Review Nurse

Job Attributes

Job Id:

18287

Job Category:

Clinical & Life Sciences

Job Location:

Glen Burnie, MD  21060

Security Clearance:

No Clearance

Business Unit:

Piper Companies

JOB DESCRIPTION

Piper Clinical Solutions is currently seeking a Utilization Review Nurse (Inpatient and Outpatient)  in the Baltimore, MD area. The utilization review nurse will be supporting a world-renowned health care organization with ensuring that given care is cost-effective and up to quality standards.

 

Responsibilities for the Utilization Review Nurse (Inpatient and Outpatient):

  • Utilize Interqual and Milliman (McKesson) Criteria for medical necessity
  • Issue reports on health care variances
  • Meeting with Medical Directors on a weekly basis to review details of cases
  • Work with patient discharge planning for certain cases

Qualifications of the Utilization Review Nurse (Inpatient and Outpatient):

  • 3+ years acute care nursing in a hospital setting
  • Utilization review experience, as well as health planning
  • Active RN license in Maryland
  • Associate’s degree in Nursing

Compensation for the Utilization Review Nurse (Inpatient and Outpatient):

  • Up to $85,000, commensurate with experience
  • Benefits: Full benefits including Health, Dental, Vision, PTO, Paid Holidays, 401k plan

 

Please send all resumes to Michael Epstein at mepstein@pipercompanies.com

 

Keywords: utilization review, health planning, patient discharge, case review, interqual, Milliman, registered nurse, RN, inpatient, outpatient, intake, nursing, hospital, johns Hopkins, acute care, medical terminology, health care, health insurance, case management, utilization review nurse, paid time off, pto, 401k, medical, dental, vision, paid holidays 

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Job Id:

18287

Job Category:

Clinical & Life Sciences

Job Location:

Glen Burnie, MD  21060

Security Clearance:

No Clearance

Business Unit:

Piper Companies