Utilization Review Specialist
2 weeks ago
We are seeking a skilled Utilization Review / Case Management RN to join our team at LifeBridge Health. As a key member of our care management team, you will play a critical role in ensuring the efficient and effective delivery of healthcare services.
Key Responsibilities:- Conduct concurrent and retrospective chart reviews to identify opportunities for improvement in clinical, financial, and resource utilization.
- Develop and implement interventions to reduce avoidable delays and denial of payment.
- Collaborate with healthcare providers and other stakeholders to ensure seamless care coordination.
- Utilize strong critical thinking skills to analyze complex data and make informed decisions.
- Bachelor of Science in Nursing degree from a CCNE-accredited institution.
- Current Maryland Registered Nurse License.
- American Heart Association CPR Certification.
- Proven experience in utilization review and discharge planning.
Why Join Our Team?
As a leading healthcare provider in Maryland, LifeBridge Health offers a dynamic and supportive work environment, opportunities for professional growth and development, and a commitment to delivering exceptional patient care.
Additional Information:
Please note that all new hires are required to receive the first dose of the COVID-19 Vaccination Series prior to their Occupational Health pre-employment assessment, and scheduled to complete the Vaccine Series within the first thirty (30) days of employment.
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