Utilization Review and Case Management RN
5 days ago
Job Summary
LifeBridge Health is seeking a skilled Utilization Review and Case Management RN to join our team. As a Utilization Review and Case Management RN, you will be responsible for conducting concurrent and retrospective chart reviews to identify opportunities for improvement in clinical, financial, and resource utilization.
Key Responsibilities
- Conduct thorough chart reviews to identify areas for improvement in clinical, financial, and resource utilization
- Develop and implement interventions to reduce avoidable delays and denial of payment
- Collaborate with healthcare teams to ensure seamless care transitions and optimal patient outcomes
- Provide education and support to patients and families to promote self-management and independence
- Participate in quality improvement initiatives to enhance patient care and reduce costs
Requirements
- Bachelor of Science in Nursing degree from an accredited institution
- Current Maryland Registered Nurse License
- American Heart Association CPR Certification
- Strong critical thinking and analytical skills
- Excellent communication and interpersonal skills
Preferred Qualifications
- Experience in utilization review and case management
- Knowledge of healthcare regulations and policies
- Ability to work in a fast-paced environment and prioritize multiple tasks
About LifeBridge Health
LifeBridge Health is a leading healthcare provider in Maryland, serving over 1 million patients annually. We are committed to delivering high-quality, patient-centered care and are seeking talented professionals to join our team.
-
Utilization Review and Case Management RN
3 days ago
Baltimore, Maryland, United States LifeBridge Health Full timeJob SummaryWe are seeking a skilled Utilization Review and Case Management RN to join our team at LifeBridge Health. As a Utilization Review and Case Management RN, you will play a critical role in ensuring the efficient and effective use of healthcare resources.Key Responsibilities:Conduct concurrent and retrospective chart reviews to identify opportunities...
-
Utilization Review and Case Management RN
4 days ago
Baltimore, Maryland, United States LifeBridge Health Full timeJob SummaryWe are seeking a skilled Utilization Review and Case Management RN to join our team at LifeBridge Health. As a key member of our healthcare team, you will be responsible for conducting concurrent and retrospective chart reviews to identify opportunities for improvement in clinical, financial, and resource utilization.Key Responsibilities:Conduct...
-
Utilization Review and Case Management RN
5 days ago
Baltimore, Maryland, United States LifeBridge Health Full timeJob SummaryWe are seeking a skilled Utilization Review and Case Management RN to join our team at LifeBridge Health. As a Utilization Review and Case Management RN, you will play a critical role in ensuring the efficient use of healthcare resources while maintaining high-quality patient care.Key Responsibilities:Conduct concurrent and retrospective chart...
-
Utilization Review and Case Management RN
18 hours ago
Baltimore, Maryland, United States LifeBridge Health Full timeJob SummaryWe are seeking a skilled Utilization Review and Case Management RN to join our team at LifeBridge Health. As a Utilization Review and Case Management RN, you will play a critical role in ensuring the efficient use of healthcare resources while maintaining high-quality patient care.Key Responsibilities:Conduct concurrent and retrospective chart...
-
Travel Nurse RN
4 days ago
Baltimore, Maryland, United States Medical Solutions Full timeJob Summary: Medical Solutions is seeking a skilled Registered Nurse (RN) to fill a travel position in Case Management (Utilization Review) at a top-rated facility in Baltimore, MD.About the Role: As a travel RN in Case Management, you will be responsible for reviewing patient cases to ensure that medical services are necessary and meet the patient's needs....
-
Travel Nurse RN
20 hours ago
Baltimore, Maryland, United States Medical Solutions Full timeJob Summary:Medical Solutions is seeking a skilled and dedicated Registered Nurse (RN) to fill a Case Management Utilization Review position in a dynamic healthcare setting. As a travel nurse with Medical Solutions, you will have the opportunity to work with a talented team of healthcare professionals and gain valuable experience in a fast-paced...
-
Travel Nurse RN
5 days ago
Baltimore, Maryland, United States Medical Solutions Full timeJob SummaryWe are seeking a skilled Registered Nurse (RN) with experience in Case Management (Utilization Review) to join our team as a Travel Nurse in Baltimore, MD.Job ResponsibilitiesProvide high-quality patient care as a Registered Nurse in a dynamic healthcare settingUtilize case management skills to review and manage patient care plansCollaborate with...
-
Travel Nurse RN Case Manager
1 week ago
Baltimore, Maryland, United States Medical Solutions Full timeJob SummaryWe are seeking a skilled Travel Nurse RN Case Manager to join our team at Medical Solutions. As a Travel Nurse RN Case Manager, you will be responsible for coordinating care for a select caseload of patients from triage, care coordination during JHM management and safe transfer to home.Key Responsibilities:Proactively communicates with payors to...
-
Travel Nurse RN Case Manager
6 days ago
Baltimore, Maryland, United States TotalMed Case Management Staffing Full timeJob Title: Travel Nurse RN Case ManagerJob Type: Travel NursingLocation: Baltimore, MarylandJob Description:We are seeking a skilled Case Manager-Registered Nurse to join our team at TotalMed Case Management Staffing. As a travel nurse, you will have the opportunity to work in a variety of healthcare settings and gain valuable experience in case...
-
Traveling RN for Utilization Review
1 week ago
Baltimore, Maryland, United States Medical Solutions Full timePosition OverviewMedical Solutions is actively seeking a skilled Travel Nurse RN specializing in Case Management and Utilization Review. This role involves providing exceptional care coordination for patients, ensuring a seamless transition from hospital to home.Job ResponsibilitiesSpecialty: Utilization ReviewDiscipline: RNDuration: 13 weeksHours: 40 hours...
-
Utilization Review Specialist
5 days ago
Baltimore, Maryland, United States LifeBridge Health Full timeJob SummaryWe are seeking a skilled Utilization Review Specialist to join our team at LifeBridge Health. As a Utilization Review Specialist, you will play a critical role in ensuring the efficient use of healthcare resources while maintaining high-quality patient care.Key ResponsibilitiesConduct concurrent and retrospective chart reviews to identify...
-
Registered Nurse Case Manager
2 weeks ago
Baltimore, Maryland, United States TotalMed Case Management Staffing Full timeTotalMed Case Management Staffing is actively seeking a skilled Registered Nurse specializing in Case Management for a travel nursing opportunity. Position Overview As a travel nurse in this role, you will be responsible for managing patient care and coordinating treatment plans. This position requires a dedicated professional who can work effectively in...
-
Travel Nurse RN Case Manager
5 days ago
Baltimore, Maryland, United States TotalMed Case Management Staffing Full timeJob SummaryTotalMed Case Management Staffing is seeking a skilled Registered Nurse Case Manager to fill a travel nursing position.Key ResponsibilitiesDeliver high-quality patient care and case management services in a fast-paced healthcare environment.Collaborate with healthcare professionals to develop and implement effective care plans.Conduct thorough...
-
Traveling Registered Nurse
2 weeks ago
Baltimore, Maryland, United States Medical Solutions Full timeJoin Medical Solutions as a Travel Nurse RN Case Manager Medical Solutions is actively seeking a dedicated Travel Nurse RN Case Manager specializing in Utilization Review for an exciting travel nursing opportunity. Shift: 8 hours, days Employment Type: Travel We are looking for skilled healthcare professionals who are ready to embark on an adventure while...
-
PRN Utilization Review Nurse
2 months ago
Baltimore, Maryland, United States Johns Hopkins Medicine Full timeYou deserve more Johns Hopkins Health Plans (JHHP) is the managed care and health services business of Johns Hopkins Medicine. JHHP is a $3B business serving over 500,000 active members with lines of business in Medicaid, Medicare, commercial, military health, health solutions, and venture investments. JHHP is a leader in provider-sponsored health plans and...
-
Case Manager RN
2 days ago
Baltimore, Maryland, United States Johns Hopkins Health System Full timeAbout the RoleAs a Case Manager RN at Johns Hopkins Health System, you will play a critical role in coordinating patient-centered care across the continuum. You will work collaboratively with patients, families, social workers, physicians, and the interdisciplinary team to provide leadership and advocacy in the coordination of care.Key ResponsibilitiesManage...
-
Utilization Review Nurse
9 hours ago
Baltimore, Maryland, United States LifeBridge Health Full timeJob SummaryWe are seeking a skilled Utilization Review Nurse to join our team at LifeBridge Health. As a Utilization Review Nurse, you will play a critical role in ensuring the efficient use of healthcare resources while maintaining high-quality patient care.Key ResponsibilitiesConduct concurrent and retrospective chart reviews to assess clinical, financial,...
-
Utilization Review Nurse
9 hours ago
Baltimore, Maryland, United States LifeBridge Health Full timeJob SummaryWe are seeking a skilled Utilization Review Nurse to join our team at LifeBridge Health. As a Utilization Review Nurse, you will play a critical role in ensuring the efficient use of healthcare resources while maintaining high-quality patient care.Key ResponsibilitiesConduct concurrent and retrospective chart reviews to assess clinical, financial,...
-
Utilization Review Nurse
1 hour ago
Baltimore, Maryland, United States LifeBridge Health Full timeJob SummaryWe are seeking a skilled Utilization Review Nurse to join our team at LifeBridge Health. As a Utilization Review Nurse, you will play a critical role in ensuring the efficient use of healthcare resources while maintaining high-quality patient care.Key ResponsibilitiesConduct concurrent and retrospective chart reviews to assess clinical, financial,...
-
Utilization Review Nurse
4 days ago
Baltimore, Maryland, United States LifeBridge Health Full timeJob SummaryLifeBridge Health is seeking a skilled Utilization Review Nurse to join our team. As a Utilization Review Nurse, you will play a critical role in ensuring the efficient use of healthcare resources while maintaining high-quality patient care.Key ResponsibilitiesChart Review: Conduct thorough reviews of patient medical records to assess clinical,...