RN UM

We Care Staffing

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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Vacancy posted 5 days ago

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