Utilization Review Nurse RN - PRN
LifeBridge Health · Baltimore, MD · 2 wk ago
Healthcare$50/hrFull-time
Summary
LifeBridge Health is a dynamic health system dedicated to improving health access and community-centered care. The PRN Utilization Review RN at Sinai Hospital works with stakeholders in the Revenue Cycle Management process and payors to ensure efficient utilization of resources, minimize losses, and maximize reimbursement.
About the Role/Unit
The PRN Utilization Review RN at Sinai Hospital works with stakeholders in the Revenue Cycle Management process and payors to ensure efficiency of utilization of resources, minimize losses and maximize reimbursement. This PRN position will be scheduled Weekend Nights supporting the ED based on the needs of the department.
Key Responsibilities
- Medical necessity review of patient stays and referral to the physician advisor as needed
- Denial Management, including coordination with Case Management
- Maintain oversight of utilization of hospital resources
Requirements
- Education: BSN preferred; ADN required
- Licensure: Registered Nurse License - Current Maryland license or Compact Multistate License
- Experience: At least 2 years of experience in acute inpatient ED utilization review required
Additional Information
- Must Live in One of the Following Districts/States: District of Columbia, Maryland, Pennsylvania, Virginia, West Virginia
- What We Offer: Impact, Growth, Support, Benefits
- Why LifeBridge Health? Over 14,000 employees, 130 care locations, and two million annual patient encounters. Thriving on a culture of CARE BRAVELY—where compassion, courage, and urgency drive every decision.
Pay
$50.00-$50.00
Schedule
PRN - Weekends - Night shift - 7:00pm-7:30am