Clinical Utilization Review Specialist

1 week 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 Discharge Planning Nurse. This part-time position will require the candidate to conduct concurrent and retrospective chart reviews to identify clinical, financial, and resource utilization information. The successful candidate will provide intervention and coordination to decrease avoidable delays and denial of payment.

Key Responsibilities
  • Conduct chart reviews to identify areas for improvement
  • Develop and implement plans to reduce delays and denial of payment
  • Collaborate with healthcare teams to ensure effective care coordination
  • Provide education and support to patients and families
Requirements
  • Bachelor of Science in Nursing
  • Strong critical thinking skills and ability to perform chart reviews efficiently
  • Experience in Utilization Review and Discharge Planning
  • Current Maryland Registered Nurse License and American Heart Association CPR Certification
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.



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