Utilization Review Nurse

23 hours ago


Baltimore, 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. Your expertise will be essential in conducting concurrent and retrospective chart reviews to identify opportunities for improvement and implementing interventions to reduce avoidable delays and denial of payment.

Key Responsibilities


  • Conduct thorough chart reviews to identify clinical, financial, and resource utilization information.
  • Develop and implement interventions to reduce avoidable delays and denial of payment.
  • Collaborate with healthcare teams to ensure seamless care coordination and efficient resource allocation.
  • Stay up-to-date with industry developments and best practices in utilization review and case management.

Requirements


  • Bachelor of Science in Nursing degree from an accredited institution.
  • Strong critical thinking skills and ability to perform clinical/chart review and abstract information efficiently.
  • Current Maryland Registered Nurse License.
  • American Heart Association CPR Certification.

What We Offer


As a valued member of the LifeBridge Health team, you will enjoy a dynamic and supportive work environment, opportunities for professional growth and development, and a comprehensive benefits package. If you are a dedicated and detail-oriented RN with a passion for utilization review and case management, we encourage you to apply for this exciting opportunity.

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