Clinical Utilization Review Nurse

1 week ago

Baltimore, Maryland, United States LifeBridge Health Full time

CLINICAL UTILIZATION REVIEW NURSE (RN) - PRN

Position Overview:
As a vital member of our healthcare team, the Clinical Utilization Review Nurse is responsible for conducting both concurrent and retrospective evaluations of patient charts. This role focuses on assessing clinical, financial, and resource utilization data to ensure optimal patient care and efficient use of resources.

Key Responsibilities:
1. Perform thorough chart reviews to identify clinical and financial information.
2. Collaborate with healthcare providers to facilitate timely interventions and minimize delays in patient care.
3. Analyze data to support decisions regarding payment denials and resource allocation.

Qualifications:
- A Bachelor of Science in Nursing (BSN) from an accredited institution is required.
- A minimum of 3-5 years of experience in a clinical setting, with a strong emphasis on critical thinking and analytical skills.
- Proficiency in conducting clinical reviews and efficiently abstracting relevant information.

About LifeBridge Health:
LifeBridge Health is one of Maryland's largest healthcare providers, dedicated to delivering exceptional care to over 1 million patients each year. Our network includes various facilities and services aimed at improving community health and wellness.

Join Us:
We invite you to become part of our mission to provide high-quality healthcare and support to our patients and their families.

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