Utilization Review and Case Management RN

3 weeks ago


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

We are seeking a skilled Utilization Review and Case Management RN to join our team at LifeBridge Health. As a key member of our healthcare team, you will be responsible for conducting concurrent and retrospective chart reviews to identify opportunities for improvement in clinical, financial, and resource utilization.

Key Responsibilities:
  • Conduct thorough chart reviews to identify areas for improvement in patient care and resource utilization.
  • Develop and implement strategies to reduce avoidable delays and denial of payment.
  • Collaborate with healthcare teams to ensure seamless coordination of patient care.
  • Provide education and support to patients and families to promote optimal health outcomes.
Requirements:
  • Bachelor of Science in Nursing degree from an accredited institution.
  • Current Maryland Registered Nurse License.
  • American Heart Association CPR Certification.
  • Minimum 2 years of experience in utilization review and case management.
  • Strong critical thinking and analytical skills.
What We Offer:
  • A dynamic and supportive work environment.
  • Opportunities for professional growth and development.
  • A comprehensive benefits package.
  • A competitive salary and bonus structure.


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