Clinical Utilization Specialist

2 weeks ago


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

We are seeking a skilled Utilization Review and Discharge Planning RN to join our team at LifeBridge Health. As a key member of our care management team, you will play a critical role in ensuring the efficient and effective delivery of patient care.

Key Responsibilities
  • Conduct concurrent and retrospective chart reviews to identify opportunities for improvement in clinical, financial, and resource utilization.
  • Develop and implement interventions to reduce avoidable delays and denial of payment.
  • Collaborate with healthcare teams to ensure seamless transitions of care and optimal patient outcomes.
  • Utilize strong critical thinking skills to analyze complex data and make informed decisions.
Requirements
  • Bachelor of Science in Nursing from a CCNE-accredited institution.
  • Current Maryland Registered Nurse License.
  • American Heart Association CPR Certification.
  • Proven experience in Utilization Review and Discharge Planning.
About LifeBridge Health

As one of the largest healthcare providers in Maryland, LifeBridge Health is committed to delivering high-quality, patient-centered care to our community. With a team of over 13,000 dedicated professionals, we strive to make a positive impact on the lives of our patients and their families.



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