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RN UM

RN UM

Job ID

OOJ - 5461

Location

Westbrook, ME, Maine

Remote Status

OnSite

Posted by

18 weeks ago

Qualification

N/A

Job Type

Direct Client

No. Positions

10

Job Description

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.

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