Utilization Review RN
9 hours ago
About the Role
As a Utilization Review and Case Management RN at LifeBridge Health, you will play a critical role in ensuring the efficient use of healthcare resources while providing high-quality patient care. This part-time position requires you to work every other weekend, with a 16-hour bi-weekly schedule.
Key Responsibilities
Conduct concurrent and retrospective chart reviews to identify areas for improvement in clinical, financial, and resource utilization information. Develop and implement interventions to decrease avoidable delays and denial of payment. Collaborate with healthcare teams to ensure seamless patient care and optimal resource allocation.
Requirements
Minimal degree requirement: Bachelor of Science in Nursing. Must possess strong critical thinking skills, with the ability to perform clinical/chart review and abstract information efficiently. BSN's from CCNE accredited schools. Maryland Registered Nurse License. American Heart Association CPR Certification. Prior experience in Utilization Review and Discharge Planning is highly desirable.
What We Offer
As a valued member of our team, you will enjoy a competitive salary, comprehensive benefits package, and opportunities for professional growth and development. Join our team of dedicated healthcare professionals who are passionate about delivering exceptional patient care and making a meaningful difference in our community.
LifeBridge Health
We are one of the largest healthcare providers in Maryland, serving over 1 million patients annually. Our team of 13,000 healthcare professionals is committed to delivering high-quality, patient-centered care in a compassionate and respectful manner. We strive to CARE BRAVELY for our patients, families, and communities, and we invite you to join us on this journey.
-
Utilization Review RN
18 hours ago
Upper Falls, Maryland, United States LifeBridge Health Full timeUtilization Review and Case Management RN OpportunityBaltimore, MDGrace Medical CenterCare ManagementPart-time, Weekend ShiftsRN Required$50.00-$50.00Job SummaryAs 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....
-
Utilization Review RN
24 hours ago
Upper Falls, Maryland, United States LifeBridge Health Full timeUtilization Review and Case Management RN - Part Time, WeekendsJob Summary:We are seeking a skilled Utilization Review and Case Management RN to join our team at LifeBridge Health. As a key member of our healthcare team, you will be responsible for conducting concurrent and retrospective chart reviews to identify opportunities for improvement in clinical,...
-
Utilization Review Specialist
2 days ago
Upper Marlboro, Maryland, United States University of Maryland Medical System Full timeJob SummaryWe are seeking a highly skilled Utilization Reviewer to join our team at the University of Maryland Medical System. As a Utilization Reviewer, you will play a critical role in ensuring that our patients receive the most appropriate level of care while also optimizing resource utilization.Key ResponsibilitiesConduct timely and accurate utilization...
-
Clinical Utilization Specialist
2 days ago
Upper Marlboro, Maryland, United States University of Maryland Medical System Full timeJob SummaryUnder general supervision, the Utilization Reviewer provides timely and accurate utilization review for all patient populations, utilizing nationally recognized care guidelines/criteria relevant to the payer. This role requires interfacing with the case managers, medical team, other hospital staff, physician advisors, and payers.Key...
-
RN Care Manager
3 days ago
Upper Falls, Maryland, United States LifeBridge Health Full timeRN Care Coordinator OpportunityWe are seeking a skilled RN Care Coordinator to join our team at LifeBridge Health. As a RN Care Coordinator, you will play a critical role in managing individualized patient-centered care through the use of the Nursing Process and Primary Nursing principles.Key Responsibilities:Manage a panel of patients and work...
-
RN Care Manager
3 days ago
Upper Falls, Maryland, United States LifeBridge Health Full timeRN Care Coordinator OpportunityLifeBridge Health is seeking a skilled RN Care Coordinator to join our team. As a RN Care Coordinator, you will play a critical role in managing individualized patient-centered care through the use of the Nursing Process and the principles of Primary Nursing.Key Responsibilities:Accept care management referrals and maintain an...
-
Nursing Professional
1 week ago
Upper Falls, Maryland, United States LifeBridge Health Full timeJob SummaryThe Registered Nurse (RN) provides high-quality patient care in the Emergency Department at Grace Medical Center. This role requires a strong foundation in nursing principles, excellent communication skills, and the ability to work effectively in a fast-paced environment.Key ResponsibilitiesAssess patients' physical, psychosocial, and spiritual...
-
Nursing Professional
7 days ago
Upper Falls, Maryland, United States LifeBridge Health Full timeJob SummaryThe Registered Nurse (RN) provides high-quality patient care in the Emergency Department at Grace Medical Center. This role requires a strong foundation in nursing principles, excellent communication skills, and the ability to work effectively in a fast-paced environment.Key ResponsibilitiesAssess patients' physical, psychosocial, and spiritual...
-
Quality Improvement Coordinator RN
3 days ago
Upper Marlboro, Maryland, United States University of Maryland Medical System Full timeJob Title: Quality Improvement Coordinator RNJoin the University of Maryland Medical System as a Quality Improvement Coordinator RN and contribute to the delivery of high-quality patient care.Job SummaryThe Quality Improvement Coordinator RN will be responsible for conducting quality assurance compliance audits, reviewing policies and procedures, and...
-
Travel Nurse RN
1 week ago
Upper Marlboro, Maryland, United States Critical Connection Full timeJob Title: Travel Nurse RNCritical Connection, inc is seeking a skilled travel nurse RN for a travel nursing job in Maryland.Job SummaryWe are looking for a dedicated and compassionate Home Health Registered Nurse to provide high-quality patient care in the comfort of their own homes. As a travel nurse RN, you will have the opportunity to work with a variety...
-
Travel Nurse RN Position
1 week ago
Upper Marlboro, Maryland, United States TotalMed Staffing Full timeCVOR Travel Nursing Job in MarylandTotalMed Staffing is seeking a skilled travel nurse RN for a CVOR position in Maryland.Job DetailsSpecialty: CVORDiscipline: RNDuration: 13 weeksHours: 40 hours per weekShift: 8 hours, daysEmployment Type: TravelWe offer a competitive salary of $3,192/week and a range of benefits, including weekly pay, guaranteed hours,...
-
Travel Nurse RN
2 weeks ago
Upper Marlboro, Maryland, United States Epic Travel Staffing Full timeJob Title: Travel Nurse RN - Emergency DepartmentEpic Travel Staffing is seeking a skilled travel nurse RN to join our team in the Emergency Department.Job Summary:We are looking for a dedicated and compassionate travel nurse RN to provide high-quality patient care in the Emergency Department. As a travel nurse RN, you will have the opportunity to work in a...
-
Director of Care Management and Operations
2 weeks ago
Upper Marlboro, Maryland, United States University of Maryland Medical Center Baltimore Washington Full timeJob SummaryThe Director of Care Management and Operations will be responsible for the 24/7 management, leadership, coordination, productivity, and operation of system-wide care management services. This includes, but is not limited to, Care Management, Social Work, Discharge Planning, Denials and Appeals Management, Utilization Review, Quality and Peer...
-
**Engineering Specialist**
3 weeks ago
Upper Marlboro, Maryland, United States Prince George's County Full timeAbout the Position:The Department of Permitting, Inspections and Enforcement (DPIE) is seeking a highly qualified individual to fill an **Engineer I** position in the Site/Road Plan Review Division.The incumbent will perform a variety of engineering reviews and analyses of permit plans and computations for site-related and building-related permits.Key...
-
Travel Nurse RN Specialist
2 weeks ago
Upper Marlboro, Maryland, United States Nurses First Solutions Full timeJob SummaryNurses First Solutions is seeking a skilled travel nurse RN to join our team in a Neonatal Intensive Care (NICU) setting.Key ResponsibilitiesProvide high-quality patient care and education to patients and their families.Assess and analyze patient health status, developing individualized care plans to meet their unique needs.Administer medications...
-
Forensic Nurse Examiner Apprentice RN
5 days ago
Upper Marlboro, Maryland, United States University of Maryland Medical System Full timeJob Title: Forensic Nurse Examiner Apprentice RNUniversity of Maryland Medical System is seeking a highly skilled and dedicated Forensic Nurse Examiner Apprentice RN to join our team.Job Summary:The Forensic Nurse Examiner Apprentice RN will provide comprehensive care to adults, adolescents, and children who have been impacted by sexual assault, intimate...
-
Forensic Nurse Examiner Apprentice PRN
1 week ago
Upper Marlboro, Maryland, United States University of Maryland Medical System Full timeJob Title: Forensic Nurse Examiner Apprentice PRNAt the University of Maryland Medical System, we are seeking a highly skilled and compassionate Forensic Nurse Examiner Apprentice PRN to join our team.Job Summary:The Forensic Nurse Examiner Apprentice PRN will work under the general direction of the Forensic Nurse Examiner Manager to provide comprehensive...
-
Travel Nurse RN Specialist
2 weeks ago
Upper Marlboro, Maryland, United States GO HEALTHCARE, INC. Full timeJob SummaryGo Healthcare, Inc. is seeking a skilled Travel Nurse RN to join our team in a CVOR setting. As a travel nurse, you will have the opportunity to work in a dynamic and fast-paced environment, providing high-quality patient care and collaborating with a multidisciplinary team.Key ResponsibilitiesProvide direct patient care in a CVOR setting,...
-
Travel Nurse RN ED
3 days ago
Upper Marlboro, Maryland, United States Cross Country Nurses Full timeJob Title: Emergency Department NurseCross Country Nurses is seeking a skilled Emergency Department Nurse for a travel nursing job in Maryland.Job Description & RequirementsSpecialty: ED - Emergency DepartmentDiscipline: RNDuration: 13 weeks36 hours per weekShift: 12 hours, nightsEmployment Type: TravelAs an Emergency Department Nurse, you will be the first...
-
Travel Nurse RN
2 weeks ago
Upper Marlboro, Maryland, United States Critical Connection Full timeJob SummaryCritical Connection, inc is seeking a skilled Home Health Registered Nurse (RN) for a travel nursing job in a dynamic healthcare setting.Job ResponsibilitiesDeliver high-quality patient care in the comfort of patients' homes, utilizing the nursing process of assessment, planning, intervention, implementation, and evaluation.Provide comprehensive...