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Utilization Review Nurse

2 months ago


Baltimore, Maryland, United States LifeBridge Health Full time
Job Summary

We are seeking a skilled Utilization Review Nurse to join our team at LifeBridge Health. As a Utilization Review Nurse, you will play a critical role in ensuring the efficient use of healthcare resources while maintaining high-quality patient care.

Key Responsibilities
  • Conduct concurrent and retrospective chart reviews to assess clinical, financial, and resource utilization information.
  • Provide intervention and coordination to decrease avoidable delays and denial of payment.
  • Collaborate with care managers to achieve optimal patient outcomes and reduce length of stay.
Requirements
  • Bachelor of Science in Nursing (BSN) from a CCNE-accredited school.
  • Current Maryland Registered Nurse License.
  • Strong knowledge of medical terminology, nursing process, and critical thinking skills.
  • Experience with Midas, Healthstream, and Cerner systems.
Work Environment

This is a remote position with 95% or greater work-from-home flexibility. Occasional on-site training and meetings may be required.