Registered Nurse - Utilization Review in Chesapeake Beach, MD
Job Description
Utilization Review Nurse RN - PRN
• Baltimore, MD
• SINAI HOSPITAL
• UTILIZATION REVIEW
• PRN - Day shift - 8:00am-4:30pm
• RN Other
• 92270
• $50.00-$50.00
• Posted: September 30, 2025
Apply Now Save Job Saved
Summary
Who We Are:
LifeBridge Health is a dynamic, purpose-driven health system redefining care delivery across the mid-Atlantic and beyond, anchored by our mission to “improve the health of people in the communities we serve.” Join us to advance health access, elevate patient experiences, and contribute to a system that values bold ideas and community-centered care.
About the Role/Unit:
The PRN Utilization Review RN at Sinai Hospital works with stakeholders in the Revenue Cycle Management process and payors to ensure efficiency of utilization of resources, minimize losses and maximize reimbursement.
Key Responsibilities:
• Medical necessity review of patient stays and referral to the physician advisor as needed
• Denial Management, including coordination with Case Management
• Monitor utilization of hospital resources
Requirements:
• Education: BSN preferred; ADN required
• Licensure: Registered Nurse License - Current Maryland license or Compact Multistate License
• Experience: At least 2 years of experience in acute inpatient utilization review required and behavioral health UR experience strongly preferred
Must Live in One of the Following Districts/States: District of Columbia, Maryland, Pennsylvania, Virginia, West Virginia
Additional Information
What We Offer:
Impact: Join a team that values innovation and outcomes, delivering life-saving care to our youngest and most vulnerable patients.
Growth: Opportunities for professional development, including tuition reimbursement and developing foundational skills for neonatal critical care leadership and advanced certification.
Support: A culture of collaboration with resources like unit-based practice councils and advanced clinical education support — improving both workflow efficiency and patient outcomes and allowing you to work at the top of your license.
Benefits: Competitive compensation (additional compensation such as overtime, shift differentials, premium pay, and bonuses may apply depending on job), comprehensive health plans, free parking, and wellness programs.
Why LifeBridge Health?
With over 14,000 employees, 130 care locations, and two million annual patient encounters, we combine strategic growth, innovation, and deep community commitment to deliver exceptional care anchored by five leading centers in the Baltimore region: Sinai Hospital of Baltimore, Grace Medical Center, Northwest Hospital, Carroll Hospital, and Levindale Hebrew Geriatric Center and Hospital.
Our organization thrives on a culture of CARE BRAVELY—where compassion, courage, and urgency drive every decision, empowering teams to shape the future of healthcare.
LifeBridge Health complies with applicable Federal civil rights laws and does not discriminate on the basis of race, color, national origin, age, disability, sex or sexual orientation and gender identity/expression. LifeBridge Health does not exclude people or treat them differently because of race, color, national origin, age, disability, sex or sexual orientation and gender identity/expression.
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Apply Now
• Baltimore, MD
• SINAI HOSPITAL
• UTILIZATION REVIEW
• PRN - Day shift - 8:00am-4:30pm
• RN Other
• 92270
• $50.00-$50.00
• Posted: September 30, 2025
Apply Now Save Job Saved
Summary
Who We Are:
LifeBridge Health is a dynamic, purpose-driven health system redefining care delivery across the mid-Atlantic and beyond, anchored by our mission to “improve the health of people in the communities we serve.” Join us to advance health access, elevate patient experiences, and contribute to a system that values bold ideas and community-centered care.
About the Role/Unit:
The PRN Utilization Review RN at Sinai Hospital works with stakeholders in the Revenue Cycle Management process and payors to ensure efficiency of utilization of resources, minimize losses and maximize reimbursement.
Key Responsibilities:
• Medical necessity review of patient stays and referral to the physician advisor as needed
• Denial Management, including coordination with Case Management
• Monitor utilization of hospital resources
Requirements:
• Education: BSN preferred; ADN required
• Licensure: Registered Nurse License - Current Maryland license or Compact Multistate License
• Experience: At least 2 years of experience in acute inpatient utilization review required and behavioral health UR experience strongly preferred
Must Live in One of the Following Districts/States: District of Columbia, Maryland, Pennsylvania, Virginia, West Virginia
Additional Information
What We Offer:
Impact: Join a team that values innovation and outcomes, delivering life-saving care to our youngest and most vulnerable patients.
Growth: Opportunities for professional development, including tuition reimbursement and developing foundational skills for neonatal critical care leadership and advanced certification.
Support: A culture of collaboration with resources like unit-based practice councils and advanced clinical education support — improving both workflow efficiency and patient outcomes and allowing you to work at the top of your license.
Benefits: Competitive compensation (additional compensation such as overtime, shift differentials, premium pay, and bonuses may apply depending on job), comprehensive health plans, free parking, and wellness programs.
Why LifeBridge Health?
With over 14,000 employees, 130 care locations, and two million annual patient encounters, we combine strategic growth, innovation, and deep community commitment to deliver exceptional care anchored by five leading centers in the Baltimore region: Sinai Hospital of Baltimore, Grace Medical Center, Northwest Hospital, Carroll Hospital, and Levindale Hebrew Geriatric Center and Hospital.
Our organization thrives on a culture of CARE BRAVELY—where compassion, courage, and urgency drive every decision, empowering teams to shape the future of healthcare.
LifeBridge Health complies with applicable Federal civil rights laws and does not discriminate on the basis of race, color, national origin, age, disability, sex or sexual orientation and gender identity/expression. LifeBridge Health does not exclude people or treat them differently because of race, color, national origin, age, disability, sex or sexual orientation and gender identity/expression.
Share:
Apply Now
Job Details
Employment Type
Contract
Required License
RN (Registered Nurse)
Years of Experience
Intermediate
Shifts
Day shift
Work Setting
Hospital
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About LifeBridge Health
LifeBridge Health is a regional health care organization based in northwest Baltimore city and Baltimore County. Comprising various healthcare facilities like Sinai Hospital of Baltimore, Northwest Hospital, and more, they offer award-winning doctors, convenient access, virtual care options, and services focusing on preventive care, wellness, and community education. Recognized for excellence, they strive to provide exceptional healthcare services and support to the northwest Baltimore community. LifeBridge Health is committed to being a great place to work, as evidenced by their certification and advocacy for a culture of bravery in caregiving. For those interested in joining their dedicated team, they offer a range of employment opportunities through their website.