Utilization Review Specialist

1 week ago


Laurel, Maryland, United States LifeBridge Health Full time
Job Summary

We are seeking a skilled Utilization Review / Case Management RN to join our team at LifeBridge Health. As a Utilization Review Specialist, you will conduct 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
  • Develop and implement interventions to reduce avoidable delays and denial of payment
  • Collaborate with healthcare teams to ensure seamless care transitions
  • Provide education and support to patients and families to promote optimal health outcomes

Requirements:

  • Bachelor of Science in Nursing from a CCNE-accredited institution
  • Current Maryland Registered Nurse License
  • American Heart Association CPR Certification
  • Minimum 2 years of experience in Utilization Review and Discharge Planning

What We Offer:

  • A dynamic and supportive work environment
  • Opportunities for professional growth and development
  • A competitive salary and benefits package

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 seeking talented professionals like you to join our team.



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