Clinical Utilization Specialist

2 weeks ago


Glen Burnie, Maryland, United States LifeBridge Health Full time
Utilization Review RN - Part Time, Weekends

Job Summary

We are seeking a skilled RN Utilization Reviewer 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 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 training to staff on utilization review best practices

Requirements

  • Bachelor of Science in Nursing degree from a CCNE-accredited program
  • Current Maryland Registered Nurse License
  • American Heart Association CPR Certification
  • Strong critical thinking and analytical skills

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 create a work environment that is supportive, inclusive, and collaborative. If you are a motivated and compassionate RN with a passion for utilization review, we encourage you to apply for this exciting opportunity.



  • Glen Burnie, Maryland, United States Chase Brexton Health Care Full time

    Job SummaryThe Clinical Care Specialist provides high-quality patient care through a collaborative and interdisciplinary approach, considering the psychosocial aspects of health and disease. This role requires strong analytical and critical thinking skills, with a focus on delivering effective patient care.Key ResponsibilitiesMaintains high standards of...


  • Glen Burnie, Maryland, United States Chase Brexton Health Care Full time

    Job SummaryThe Clinical Care Specialist provides high-quality patient care through a collaborative and interdisciplinary approach, considering the psychosocial aspects of health and disease.Key ResponsibilitiesMaintains clinical standards, utilizing diagnostic testing effectively and providing appropriate treatment.Considers the psychosocial aspects of...


  • Glen Burnie, Maryland, United States Dawn M. Gretz, DPM Full time

    Job OverviewPosition: Clinical Support SpecialistResponsibilities:Assist the podiatric physician in the clinical setting. The role requires proficiency in computer operations and familiarity with medical terminology.Company OverviewCompany: Dawn M. Gretz, DPMA reputable podiatric practice dedicated to providing exceptional foot and ankle care.


  • Glen Burnie, Maryland, United States University of Maryland Medical System Full time

    Company OverviewJoin the esteemed University of Maryland Medical System, a recognized leader in healthcare excellence. Our institution is proud to be among the few ANCC Pathway to Excellence designated hospitals in Maryland, showcasing our commitment to high-quality patient care. With a dedicated team of over 3,200 employees and 800 physicians, we are...


  • Glen Burnie, Maryland, United States University of Maryland Medical System Full time

    Position Overview: This role represents the foundational position for all nursing professionals at the University of Maryland Medical System with over 12 months of experience. The nurse in this position will demonstrate proficiency in essential skills and knowledge, actively engaging in unit governance. Core Responsibilities: Independently delivers and...


  • Glen Burnie, Maryland, United States University of Maryland Medical System Full time

    Position Overview: This role is recognized as the foundational position for all nursing professionals at our facility with over 12 months of experience. The nurse in this position will demonstrate proficiency in the essential skills and knowledge required, actively engaging in unit governance. Core Responsibilities: Independently delivers and coordinates...


  • Glen Burnie, Maryland, United States LifeBridge Health Full time

    Job SummaryWe are seeking a skilled Utilization Review and Case Management RN to join our team at LifeBridge Health. As a Utilization Review and Case Management RN, you will play a critical role in ensuring the efficient use of healthcare resources and providing high-quality patient care.Key ResponsibilitiesConduct concurrent and retrospective chart reviews...


  • Glen Burnie, Maryland, United States i4 Search Group Full time

    Rehabilitation SpecialistPOSITION TYPE: Allied Health ProfessionalSPECIALTY UNIT: Rehabilitation ServicesSHIFT: VariableJOB TYPE: Full-Time and Part-Time Opportunities (Self-Scheduling to accommodate both Clinician and Patient Availability)Job Overview:We are seeking a dedicated Rehabilitation Specialist to partner with patients on their journey to regain...


  • Glen Burnie, Maryland, United States Next Level Recovery Full time

    Healthcare Support SpecialistOverview: The Healthcare Support Specialist plays a crucial role in advancing the mission of the Outpatient Mental Health, Primary Care Practice, and Psychiatric Rehabilitation Program. This position encompasses a range of clinical and administrative responsibilities aimed at enhancing the health and wellness of patients and...


  • Glen Burnie, Maryland, United States University of Maryland Medical System Full time

    Position Overview: This role is fundamental for all nursing professionals at the University of Maryland Medical System with over 12 months of experience. The nurse will exhibit proficiency in the necessary skills and knowledge, actively engaging in unit governance. Core Responsibilities: Independently delivers and coordinates patient care within a...


  • Glen Burnie, Maryland, United States University of Maryland Medical System Full time

    Job SummaryWe are seeking a highly skilled Financial Clearance Specialist to join our team at the University of Maryland Medical System. As a key member of our patient access team, you will be responsible for ensuring seamless financial clearance processes for our patients.Key ResponsibilitiesProcess administrative and financial components of financial...


  • Glen Burnie, Maryland, United States Aurora Ripple Enterprises Full time

    Position Overview:As a Client Relations Specialist at Aurora Ripple Enterprises, you will be the cornerstone of our customer engagement strategy. Your role is to deliver prompt and courteous service to our clients, addressing inquiries, understanding their requirements, and providing immediate solutions.Training and Development:We believe in nurturing...


  • Glen Burnie, Maryland, United States Chase Brexton Health Care Full time

    Job SummaryThe Nurse Practitioner provides high-quality clinical care to patients, utilizing an interdisciplinary approach that considers the psychosocial aspects of health and disease.Key ResponsibilitiesMaintains clinical standards, utilizing diagnostic testing effectively and providing appropriate treatment.Considers the psychosocial aspects of health and...


  • Glen Burnie, Maryland, United States University of Maryland Medical System Full time

    Job OverviewCompany OverviewExperience a culture of appreciation at the University of Maryland Medical System, recognized for excellence in workplace environment. Our institution is a proud member of the University of Maryland Medical System, offering advanced healthcare services to our community. With a commitment to quality care, we are equipped with...

  • Clinical Nurse

    4 weeks ago


    Glen Burnie, Maryland, United States University of Maryland Medical System Full time

    Company OverviewJoin the esteemed University of Maryland Medical System, recognized for its commitment to excellence in healthcare. Our facility is celebrated for its outstanding workplace culture and is dedicated to providing exceptional medical services to the community. With advanced technology and a team of skilled professionals, we ensure that our...


  • Glen Burnie, Maryland, United States University of Maryland Medical System Full time

    Job SummaryWe are seeking a highly skilled Financial Clearance Specialist to join our team at the University of Maryland Medical System. As a key member of our patient access team, you will be responsible for ensuring seamless financial clearance processes for patients, insurance companies, and healthcare providers.Key ResponsibilitiesFinancial Clearance:...


  • Glen Burnie, Maryland, United States Healthcare Services Group Full time

    Healthcare Services GroupPosition Overview:Floor Maintenance Specialist: Tasked with the upkeep of flooring surfaces, which includes thorough cleaning, mopping, waxing, and shampooing in various sections of healthcare facilities.Safety Protocols: Adhere to safety regulations, utilize protective equipment, and promptly report any concerns.Reliability: Ensure...

  • Physician Specialist

    2 weeks ago


    Glen Burnie, Maryland, United States Physicians Inpatient Care Specialists (MDICS) Full time

    About the RoleWe are seeking a skilled Physician Specialist to join our team at Physicians Inpatient Care Specialists (MDICS) as a Hospitalist Physician. This is a unique opportunity to provide medical coverage and support to our patients and medical staff.Key ResponsibilitiesCompetently perform History and Physical exams to ensure accurate diagnoses and...

  • Registered Nurse

    3 weeks ago


    Glen Burnie, Maryland, United States University of Maryland Medical Center Baltimore Washington Full time

    Job SummaryWe are seeking a highly skilled Registered Nurse to join our team at the University of Maryland Medical Center Baltimore Washington. As a Registered Nurse, you will be responsible for providing high-quality patient care and contributing to the development of clinical practice guidelines and standards for our unit.Key ResponsibilitiesProvide direct...

  • Registered Nurse

    2 weeks ago


    Glen Burnie, Maryland, United States University of Maryland Medical Center Baltimore Washington Full time

    Job SummaryWe are seeking a highly skilled Registered Nurse to join our team at the University of Maryland Medical Center Baltimore Washington. As a Registered Nurse, you will be responsible for providing high-quality patient care and contributing to the development of clinical practice guidelines and standards for our unit.Key ResponsibilitiesProvide direct...