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Utilization Review Specialist

2 months ago

Gwynn Oak, United States LifeBridge Health Full time
Utilization Review / Case Management RN - Part Time, Weekends

Job Summary

We are seeking a skilled Utilization Review / Case Management RN to join our team at LifeBridge Health. As a key member of our healthcare team, you will be responsible for conducting 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 in clinical, financial, and resource utilization
  • Develop and implement strategies to reduce avoidable delays and denial of payment
  • Collaborate with healthcare teams to ensure seamless care coordination and transitions
  • Provide education and training to healthcare staff on utilization review best practices

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
  • Excellent communication and interpersonal skills

What We Offer

As a valued member of our team, you will have the opportunity to work in a dynamic and supportive environment that values your contributions and growth. We offer competitive compensation and benefits, as well as opportunities for professional development and advancement.

About LifeBridge Health

LifeBridge Health is a leading healthcare provider in Maryland, serving over 1 million patients annually. We are committed to delivering high-quality, patient-centered care and are dedicated to improving the health and well-being of our community.