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Utilization Review and Case Management RN

2 months ago


Baltimore, Maryland, United States LifeBridge Health Full time
Job Summary

We are seeking a skilled Utilization Review and Case Management RN to join our team at LifeBridge Health. As a Utilization Review and Case Management RN, you will play a critical role in ensuring the efficient and effective use of healthcare resources.

Key Responsibilities:
  • Conduct concurrent and retrospective chart reviews to identify opportunities for improvement in clinical, financial, and resource utilization.
  • Provide intervention and coordination to decrease avoidable delays and denial of payment.
  • Collaborate with healthcare teams to develop and implement strategies for improving patient outcomes and reducing healthcare costs.
  • Develop and maintain relationships with healthcare providers, payers, and other stakeholders to ensure seamless coordination of care.
Requirements:
  • Bachelor of Science in Nursing degree from an accredited institution.
  • Current Maryland Registered Nurse License.
  • American Heart Association CPR Certification.
  • Minimum 2 years of experience in utilization review and case management, with a focus on clinical review and coordination.
What We Offer:
  • A dynamic and supportive work environment.
  • Opportunities for professional growth and development.
  • A competitive salary and benefits package.