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Utilization Review RN

2 months ago

Baltimore, Maryland, United States LifeBridge Health Full time
Utilization Review and Case Management RN Opportunity

  • Baltimore, MD
  • Grace Medical Center
  • Care Management
  • Part-time, Weekend Shifts
  • RN Required
  • $50.00-$50.00


Job Summary


As a Utilization Review and Case Management RN, you will conduct concurrent and retrospective chart reviews to identify opportunities for improvement in clinical, financial, and resource utilization. You will work closely with the healthcare team to develop and implement strategies to reduce avoidable delays and denial of payment. This is a part-time, weekend shift position at Grace Medical Center.

Responsibilities:
  • Conduct chart reviews to identify areas for improvement
  • Develop and implement strategies to reduce avoidable delays and denial of payment
  • Collaborate with the healthcare team to improve clinical, financial, and resource utilization
  • Provide education and support to patients and families

Requirements:
  • Bachelor of Science in Nursing
  • Strong critical thinking skills
  • Ability to perform chart reviews and abstract information efficiently
  • Maryland Registered Nurse License
  • American Heart Association CPR Certification

Additional Information

Please note that as a condition of employment, all new hires are required to receive the first dose of the COVID-19 Vaccination Series prior to their Occupational Health pre-employment assessment, and scheduled to complete the Vaccine Series within the first thirty (30) days of employment.

LifeBridge Health is a leading healthcare provider in Maryland, with a commitment to CARE BRAVELY for our patients and community. We strive to provide exceptional care and service to our patients, and we are seeking a dedicated and compassionate RN to join our team.