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Clinical Utilization Review Specialist

1 month ago

Columbia, Maryland, United States LifeBridge Health Full time
Utilization Review and Discharge Planning RN

Join LifeBridge Health as a Utilization Review and Discharge Planning RN and play a critical role in ensuring the highest quality patient care. As a member of our team, you will conduct concurrent and retrospective chart reviews to identify opportunities for improvement and provide interventions to decrease avoidable delays and denial of payment.

Key Responsibilities:

  • Conduct thorough chart reviews to identify clinical, financial, and resource utilization information
  • Develop and implement interventions to improve patient outcomes and reduce avoidable delays
  • Collaborate with interdisciplinary teams to ensure seamless patient care
  • Provide education and support to patients and families to promote self-management and empowerment

Requirements:

  • Bachelor of Science in Nursing degree from an accredited institution
  • Current Maryland Registered Nurse License
  • American Heart Association CPR Certification
  • Strong critical thinking and analytical skills
  • Ability to work independently and as part of a team

What We Offer:

  • A dynamic and supportive work environment
  • Competitive salary and benefits package
  • Opportunities for professional growth and development
  • A commitment to excellence and patient-centered care

Apply Now:

Apply Now