Clinical Utilization Specialist

7 days ago


White Marsh, 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, weekend position requires strong critical thinking skills and the ability to perform clinical/chart review and abstract information efficiently.

Key Responsibilities


  • Conduct concurrent and retrospective chart reviews to identify opportunities for improvement in clinical, financial, and resource utilization.
  • 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


  • Bachelor of Science in Nursing degree from a CCNE-accredited institution.
  • Current Maryland Registered Nurse License.
  • American Heart Association CPR Certification.
  • Proven experience in Utilization Review and Discharge Planning.

What We Offer


As a valued member of our team, you will have the opportunity to work in a dynamic and supportive environment that prioritizes patient care and employee well-being. We offer competitive compensation and benefits packages, as well as opportunities for professional growth and development.

Join Our Team


LifeBridge Health is a leading healthcare provider in Maryland, serving over 1 million patients annually. We are committed to delivering high-quality care and improving the health and well-being of our community. If you are a motivated and compassionate RN with a passion for Utilization Review and Case Management, we encourage you to apply for this exciting opportunity.

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