Utilization Review Specialist

4 days ago


Phoenix, Maryland, United States LifeBridge Health Full time
Utilization Review / Case Management RN - Part Time, Weekends

Job Summary:

We are seeking a skilled Utilization Review Specialist to join our team at LifeBridge Health. As a Utilization Review Specialist, 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 and financial utilization
  • Develop and implement strategies to reduce avoidable delays and denial of payment
  • Collaborate with healthcare teams to ensure seamless care coordination and transition
  • Provide education and training to healthcare staff on utilization review best practices

Requirements:

  • Bachelor of Science in Nursing degree from an accredited institution
  • Current Maryland Registered Nurse License
  • American Heart Association CPR Certification
  • Minimum 2 years of experience in utilization review and discharge planning

What We Offer:

As a Utilization Review Specialist at LifeBridge Health, you will have the opportunity to work with a talented team of healthcare professionals who are dedicated to providing high-quality care to our patients. We offer a competitive salary and benefits package, as well as opportunities for professional growth and development.

About LifeBridge Health:

LifeBridge Health is a leading healthcare provider in Maryland, serving over 1 million patients annually. We are committed to delivering exceptional patient care and improving the health of our community. Our team of healthcare professionals is dedicated to providing compassionate, patient-centered care that meets the unique needs of each patient.


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