Clinical Utilization Specialist

9 hours ago


Perry Hall, Maryland, United States LifeBridge Health Full time
Job Summary

We are seeking a skilled Clinical Utilization Specialist to join our team at LifeBridge Health. As a Utilization Review and Discharge Planning RN, you will play a critical role in ensuring the efficient use of healthcare resources while providing high-quality patient care.

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 transitions of care and optimal patient outcomes.
  • Utilize strong critical thinking skills to analyze complex data and make informed decisions.
Requirements
  • Bachelor of Science in Nursing from a CCNE-accredited institution.
  • Current Maryland Registered Nurse License.
  • American Heart Association CPR Certification.
  • Proven experience in Utilization Review and Discharge Planning.
About LifeBridge Health

As one of the largest healthcare providers in Maryland, LifeBridge Health is committed to delivering exceptional patient care and advancing the health of our community. We strive to CARE BRAVELY for over 1 million patients annually and are proud to be a leader in healthcare innovation.



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