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Utilization Review RN

2 months ago

Hunt Valley, Maryland, United States LifeBridge Health Full time
Utilization Review and Case Management RN Opportunity

  • Baltimore, MD
  • Grace Medical Center
  • Care Management
  • Part-time, Weekend Shifts
  • RN
  • $50.00-$50.00
  • Posted:


Job Summary


As 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. You will work closely with healthcare teams to develop and implement strategies to reduce avoidable delays and denial of payment.

Responsibilities:
  • Conduct thorough chart reviews to identify areas for improvement
  • Develop and implement strategies to reduce avoidable delays and denial of payment
  • Collaborate with healthcare teams to improve clinical and financial outcomes
  • Provide education and training to staff on utilization review and case management best practices

Requirements:


  • Bachelor of Science in Nursing
  • Strong critical thinking skills and ability to perform clinical/chart review
  • Maryland Registered Nurse License
  • American Heart Association CPR Certification

Additional Information:


Please note that as a condition of employment, all new hires are required to receive the first dose of the COVID-19 Vaccination Series prior to their Occupational Health pre-employment assessment, and scheduled to complete the Vaccine Series within the first thirty (30) days of employment.

LifeBridge Health is a leading healthcare provider in Maryland, with a commitment to delivering high-quality care to our patients. We are seeking a skilled and dedicated Utilization Review and Case Management RN to join our team.