Clinical Utilization Review Specialist

4 weeks ago


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

We are seeking a skilled RN to join our team as a Utilization Review and Case Management RN. This part-time position will work weekends, conducting concurrent and retrospective chart reviews to identify opportunities for improvement in clinical, financial, and resource utilization.

Key Responsibilities
  • Conduct thorough chart reviews to identify areas for improvement
  • Develop and implement interventions to reduce avoidable delays and denial of payment
  • Collaborate with healthcare teams to ensure seamless care transitions
  • Provide education and support to patients and families
Requirements
  • Bachelor of Science in Nursing from a CCNE-accredited institution
  • Current Maryland RN license
  • American Heart Association CPR certification
  • Experience in utilization review and discharge planning
About LifeBridge Health

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 we are seeking dedicated professionals like you to join our team.



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