Utilization Review RN

5 days ago


Middle River, United States LifeBridge Health Full time
Utilization Review and Case Management RN Opportunity

About the Role


As a Utilization Review and Case Management RN at LifeBridge Health, you will play a critical role in ensuring the efficient use of healthcare resources. Your expertise will be utilized to conduct concurrent and retrospective chart reviews, identifying opportunities to decrease avoidable delays and denial of payment. This position requires strong critical thinking skills, with the ability to perform clinical/chart review and abstract information efficiently.

Responsibilities


  • Conduct chart reviews to identify areas for improvement in resource utilization
  • Develop and implement strategies 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 to promote optimal health outcomes

Requirements


  • Bachelor of Science in Nursing degree from a CCNE-accredited institution
  • Current Maryland Registered Nurse License
  • American Heart Association CPR Certification
  • Experience in Utilization Review and Discharge Planning

What We Offer


As a valued member of our team, you will have access to a comprehensive benefits package, including competitive salary, paid time off, and opportunities for professional growth and development. Join our team and be part of an organization that is dedicated to providing exceptional patient care and improving the health of our community.

Apply Now




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