Emergency Department Utilization Review Registered Nurse, 11:00AM-7:30PM, with some holiday and weekend on-call coverage
Gilchrist(1 month ago)
About this role
Under general supervision, provides consultative support to admitting teams regarding patient status determinations and hospital resource utilization. The role collaborates with interdisciplinary teams to help ensure appropriate patient status decisions and alignment with regulatory and payer requirements. The position supports utilization management efforts to optimize quality and cost-effectiveness of care.
Required Skills
- InterQual
- Admission Criteria
- Utilization Review
- Discharge Planning
- Payer Notifications
- EMR Review
- Collaboration
- Communication
- Critical Thinking
- Problem Solving
+6 more
Qualifications
- Maryland RN License
- BSN or Enrollment in BSN Program
- Certification in Utilization Management
- Certification in Care Management
About Gilchrist
gilchristcares.orgGilchrist is Maryland’s leading nonprofit provider of serious illness and end-of-life care, providing care at every stage of serious illness.
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