Luminis Health
UtilizationManagementNurse(RN)PartTime
“Utilization Management Nurse (RN) - Part Time at Luminis Health. Skills: Utilization Management, RN, Chart Review. Conducts concurrent and retrospective chart review. Reviews the medical record by applying utilization review criteria”
What You'll Achieve.
decrease avoidable delays; decrease denial of payment; decrease length of stay; decrease avoidable delays and denied utilizes
Industry & Context.
resolve payer issues
exposed to blood-borne pathogens
What They're Looking For.
Must Have
Current RN license from Maryland Board of Nursing, Three years of clinical nursing in an acute care hospital setting, Associate's degree in Nursing with equivalent experience
Nice to Have
BSN must be achieved within 5 years of start date in the role
What You'll Do.
Conducts concurrent and retrospective chart review
Reviews the medical record by applying utilization review criteria
Monitors and identifies patterns or trends in utilization
Collaborates with the Care Coordinator to achieve optimal outcomes
Participates in nursing unit and department clinical outcome projects
How You'll Work.
Team & Collaboration
maintains close communication with external reviews; collaborates with care coordinator for any follow up; Collaborates with the Care Coordinator; utilizes Physician Advisor and administrative personnel; collaborates with the care coordinator and Physician Advisor
Communication Scope
communicating with the patient
Applying for this Utilization Management Nurse (RN) - Part Time role?
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