Clinical Utilization Review Specialist
2 weeks ago
Job Summary
We are seeking a skilled RN to join our team as a Utilization Review and Case Management RN. This part-time, weekend position will involve 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
- 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 degree from a CCNE-accredited institution
- Current Maryland Registered Nurse License
- American Heart Association CPR Certification
- Strong critical thinking and analytical skills
- 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. We strive to CARE BRAVELY for over 1 million patients annually and are proud to be a leader in healthcare innovation.
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