Clinical Utilization Review Specialist

7 days ago


Towson, United States LifeBridge Health Full time

We are seeking a skilled Clinical Utilization Review Specialist to join our team at LifeBridge Health. As a valued member of our care management team, you will play a critical role in ensuring the efficient delivery of high-quality patient care.

About the Role

This is a part-time position working every other weekend, with 16 hours worked bi-weekly. The successful candidate will be required to commute to Grace Medical Center for scheduled shifts.

Responsibilities
  • Conduct concurrent and retrospective chart reviews to gather clinical, financial, and resource utilization information.
  • Provide intervention and coordination to reduce avoidable delays and denial of payment.

The ideal candidate will possess strong critical thinking skills and have the ability to perform clinical/chart review and abstract information efficiently. A Bachelor of Science in Nursing (BSN) from a CCNE-accredited school is required, along with a Maryland Registered Nurse License and American Heart Association CPR Certification.

Experience in Utilization Review and Discharge Planning is essential for this role. We offer a competitive salary range of $50-$50 per hour, commensurate with experience.

What We Offer

As a leading healthcare provider in Maryland, LifeBridge Health offers a dynamic work environment and opportunities for professional growth and development. Our commitment to caring bravely for over 1 million patients annually drives our mission to deliver exceptional patient care.



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