RN UM (Job ID OOJ - 5461)

Job Title: Registered Nurse (RN) – Utilization Management (UM)
Facility: Springbrook Center – Genesis Healthcare
Location: Westbrook, ME 04092
Assignment Dates: October 21, 2025 – March 14, 2026
Shift: 8:00 AM – 4:30 PM (30-min break)
Contract: 40 hours per week

Key Responsibilities

• Conduct concurrent and retrospective utilization reviews for assigned patients.

• Ensure documentation meets medical necessity and payer guidelines.

• Collaborate with interdisciplinary teams to coordinate patient care plans.

• Communicate with payers to obtain authorizations and provide required clinical updates.

• Monitor length of stay and identify opportunities for early discharge planning.

• Maintain compliance with all applicable state, federal, and facility regulations.

• Participate in performance improvement initiatives related to utilization review and case management.