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Utilization Review Specialist RN

2 months ago

Olney, Maryland, United States MEDSTAR HEALTH Full time
Job Summary

We are seeking a highly skilled and compassionate Utilization Review/Case Manager RN to join our team at MedStar Health. As a key member of our healthcare team, you will play a vital role in ensuring the highest quality patient care and outcomes.

Key Responsibilities
  • Facilitate Patient Care: Determine and review ongoing medical criteria standards and benchmarks to ensure optimal patient care.
  • Coordinate Patient Transitions: Effectively transition patients and their families through the healthcare system, ensuring seamless care and communication.
  • Collaborate with Clinical Staff: Communicate and consult with clinical and utilization review staff to ensure patient progress and movement through the system.
  • Plan for Patient Discharge: Make necessary arrangements, contacts, and complete placement prior to discharge, ensuring a smooth transition for patients and families.
  • Provide Education and Support: Educate patients, families, and staff on continuing care options, patient/family education, and clinical support.
What We Offer
  • Culture: Collaborative, inclusive, diverse, and supportive work environment.
  • Career Growth: Career mentoring to help you pursue your passions and gain skills to enhance your value.
  • Wellbeing: Competitive salary and Total Rewards benefits to help keep you happy and healthy.
  • Reputation: Regional & National recognition, advanced technology, and leading medical innovations.
Qualifications
  • Education: ADN, BSN, MSN, or CNL from an accredited School of Nursing required.
  • Experience: 1-2 year's utilization review experience in acute medical inpatient setting.
  • Licensure: Active MD RN License or Active Compact State RN required.