Utilization Review RN Specialist

5 days ago


Severn, Maryland, United States LifeBridge Health Full time

Job Title: Utilization Review RN Specialist

Location: Baltimore, MD

Job Type: Part-time, Weekends

Salary: $50.00-$50.00 per hour

About the Role:

We are seeking a skilled and experienced Registered Nurse to join our team as a Utilization Review RN Specialist. This role is responsible for conducting concurrent and retrospective chart reviews to ensure accurate clinical, financial, and resource utilization information.

Responsibilities:

  • Conduct chart reviews to identify areas for improvement in clinical practice and resource utilization
  • Develop and implement interventions to reduce avoidable delays and denial of payment
  • Collaborate with interdisciplinary teams to improve patient outcomes and quality of care
  • Provide education and training to staff on best practices and evidence-based guidelines

Requirements:

  • Bachelor of Science in Nursing (BSN) degree from an accredited institution
  • Current Maryland Registered Nurse License
  • American Heart Association CPR Certification
  • Minimum 2 years of experience in Utilization Review or Case Management

Why Join Us:

At LifeBridge Health, we strive to provide exceptional care to our patients and communities. As a Utilization Review RN Specialist, you will have the opportunity to work with a talented team of healthcare professionals to make a meaningful impact on patient outcomes and quality of care.



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