Utilization Review RN

3 weeks ago


Sparrows Point, Maryland, United States LifeBridge Health Full time
Utilization Review RN - Part Time, Weekends

Job Summary

We are seeking a skilled Utilization Review RN to join our team at LifeBridge Health. As a Utilization Review RN, you will conduct concurrent and retrospective chart reviews to identify opportunities for improvement in clinical, financial, and resource utilization.

Key Responsibilities

  • Conduct 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 accurate and timely documentation
  • Provide education and training to healthcare staff on utilization review best practices

Requirements

  • Bachelor of Science in Nursing degree from a CCNE-accredited school
  • Current Maryland Registered Nurse License
  • American Heart Association CPR Certification
  • Strong critical thinking skills and ability to perform clinical/chart review efficiently

Additional Information

As a Utilization Review RN at LifeBridge Health, you will have the opportunity to work with a talented team of healthcare professionals to improve patient outcomes and reduce healthcare costs. If you are a motivated and detail-oriented RN with a passion for utilization review, we encourage you to apply for this exciting opportunity.


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