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Utilization Review RN

2 months ago

Hunt Valley, Maryland, United States LifeBridge Health Full time
Utilization Review and Case Management RN Opportunity

  • Baltimore, MD
  • Grace Medical Center
  • Care Management
  • Part-time, Weekends, Day Shift
  • RN Other
  • $50.00-$50.00


Job Summary


As a Utilization Review and Case Management RN, you will conduct concurrent and retrospective chart reviews to identify opportunities for improvement in clinical, financial, and resource utilization. You will work closely with healthcare teams to develop and implement strategies to reduce avoidable delays and denial of payment. This is a part-time, weekend position, requiring a strong critical thinking skillset and ability to work independently.

Responsibilities:
  • Conduct chart reviews to identify areas for improvement
  • Develop and implement strategies to reduce delays and denial of payment
  • Collaborate with healthcare teams to improve patient outcomes
  • Provide education and support to patients and families

Requirements:
  • Bachelor of Science in Nursing
  • Strong critical thinking skills
  • Ability to work independently
  • Maryland Registered Nurse License
  • American Heart Association CPR Certification

Additional Information

Please note that as a condition of employment, 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.

LifeBridge Health is a leading healthcare provider in Maryland, with a commitment to delivering high-quality care to our patients. We are seeking a skilled and compassionate Utilization Review and Case Management RN to join our team.