Utilization Review RN

9 hours ago


Upper Falls, Maryland, United States LifeBridge Health Full time
Utilization Review and Case Management RN Opportunity

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.
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