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Clinical Utilization Review Nurse

Company: Nursing Careers
Location: Silver Spring
Posted on: July 10, 2018

Job Description:

A clinical opportunity is presently available for an RN Clinical Case Manager with a hospital system in the Washington D.C. market. This area is positioned within commutability to the city, while providing a suburban setting near some of the D.C. area’s most desirable neighborhoods.
The RN Clinical Case Manager will join a 50+ Bed, Long Term Care hospital featuring a Critical Care Unit of 10+ Beds and an additional 50+ Medical Surgical beds. Patients within this Long-Term Acute Care setting commonly suffer from respiratory and heart failure requiring ventilation. Patients are also treated with wound complexity and infection prevention and recovery. With facilities in multiple markets, this LTAC hospital system is presently adding caregivers to its workforce and expanding its services throughout the Mid-Atlantic Region.
As an RN Clinical Case Manager, this individual will monitor patient flow, complete insurance review as necessary and determine that information is properly collected for hospital reimbursement. The RN Clinical Case Manager will work alongside physicians and social workers to optimize throughput and allocation of resources.
The RN Clinical Case Manager will play a critical role in determining requirements for continued patient stay, introducing home care as necessary and providing detailed information to patients and family members. The RN Clinical Case Manager will play a critical role in maintaining of patient satisfaction and quality outcome achievement.
Washington D.C. area residents are afforded access to the nation’s most significant historical sites, a variety of parks and recreational areas and access to fine dining and shopping venues. Some of the country’s most desirable suburbs also highlight the D.C. area.
Hospital system employees are offered a competitive salary and complimenting benefit package to include ample paid time off, retirement savings match and health insurance options.

Keywords: Nursing Careers, Silver Spring, Clinical Utilization Review Nurse, Healthcare, Silver Spring, Maryland

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