Utilization Review Nurse
4 days ago
About the Role:
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 optimize patient outcomes.
- Care Coordination: Collaborate with care managers to achieve efficient patient outcomes, reduce length of stay, and minimize delays and denied days.
Requirements:
- Education: Bachelor of Science in Nursing (BSN) from a CCNE-accredited school.
- Certification/Licenses: Maryland Registered Nurse License.
- Experience: Medical terminology, nursing process skills, critical thinking, and proficiency in Microsoft Office Suite and Cerner.
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 13,000 dedicated professionals serves over 1 million patients annually across our network of hospitals and healthcare facilities.
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