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Utilization Review and Case Management RN
4 weeks ago
LifeBridge Health is seeking a skilled Utilization Review and Case Management RN to join our team. As a key member of our care team, you will conduct concurrent and retrospective chart reviews to identify opportunities for improvement and provide interventions to decrease avoidable delays and denial of payment.
Responsibilities- Conduct chart reviews to identify clinical, financial, and resource utilization information
- Provide interventions to decrease avoidable delays and denial of payment
- Collaborate with healthcare teams to develop and implement care plans
- Monitor and analyze data to identify trends and areas for improvement
- Bachelor of Science in Nursing from a CCNE-accredited school
- Current Maryland Registered Nurse License
- American Heart Association CPR Certification
- Experience in Utilization Review and Discharge Planning
As one of the largest healthcare providers in Maryland, LifeBridge Health is committed to delivering high-quality care to our patients. We strive to CARE BRAVELY for over 1 million patients annually and are proud to be a part of the Baltimore community.
