Clinical Utilization Review Specialist

2 weeks ago


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

We are seeking a skilled RN to join our team as a Utilization Review and Case Management professional. This part-time position will require the candidate to work every other weekend, with a 16-hour bi-weekly schedule.

Key Responsibilities
  • Conduct concurrent and retrospective chart reviews to identify clinical, financial, and resource utilization information.
  • Provide intervention and coordination to decrease avoidable delays and denial of payment.
  • Collaborate with healthcare teams to ensure efficient and effective care delivery.
Requirements
  • Bachelor of Science in Nursing degree 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

As a member of our team, you will have the opportunity to work with a dynamic and compassionate healthcare organization. We offer a competitive salary and benefits package, as well as opportunities for professional growth and development.

Please note that 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.



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