Utilization Review Nurse

4 days ago

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

LifeBridge Health is seeking a skilled Utilization Review Nurse to join our team. As a Utilization Review Nurse, you will play a critical role in ensuring the efficient use of healthcare resources while maintaining high-quality patient care.

Key Responsibilities:
  • Chart Review: Conduct thorough reviews of patient medical records to assess clinical, financial, and resource utilization information.
  • Denial Management: Identify patterns or trends in utilization management to minimize avoidable delays and denials.
  • Care Coordination: Collaborate with care managers to achieve optimal patient outcomes, reduce length of stay, and minimize delays.
Requirements:
  • Education: Bachelor of Science in Nursing (BSN) from a CCNE-accredited school.
  • Certification/Licenses: Maryland Registered Nurse License.
  • Experience: Proven experience in medical terminology, nursing process skills, critical thinking, and utilization review criteria.
About LifeBridge Health:

As one of the largest healthcare providers in Maryland, LifeBridge Health strives to deliver exceptional patient care while promoting a culture of compassion and excellence. Our team of dedicated professionals is committed to making a positive impact in the lives of our patients and the community we serve.

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