Utilization Review Case Manager RN

2 days ago

Châteauneuf, Bourgogne-Franche-Comté, United States LifeBridge Health Full time

At LifeBridge Health, we're dedicated to providing exceptional patient care and strive to CARE BRAVELY for over 1 million patients annually. As a Utilization Review Case Manager RN, you will play a critical role in conducting concurrent and retrospective chart reviews to identify clinical, financial, and resource utilization information.

Job Summary:

  • Conduct thorough chart reviews to determine medical necessity and appropriateness of services
  • Develop and implement plans to reduce avoidable delays and denial of payment
  • Collaborate with healthcare teams to optimize patient care and outcomes
  • Ensure compliance with regulatory requirements and company policies

Requirements:

  • Bachelor's degree in Nursing (BSN) from a CCNE-accredited school
  • Current Maryland Registered Nurse License
  • American Heart Association CPR Certification
  • 2+ years of experience in Utilization Review and Discharge Planning

Compensation: $50-$50 per hour

Location: Baltimore, MD

About LifeBridge Health: We are one of the largest health care providers in Maryland, with 13,000 team members serving our community. Our mission is to provide compassionate, high-quality care to those in need.

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