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Clinical Utilization Specialist

2 months ago

White Marsh, Maryland, United States LifeBridge Health Full time
Utilization Review RN - Part Time, Weekends

Job Summary

We are seeking a skilled RN Utilization Reviewer to join our team at LifeBridge Health. As a Utilization Review RN, you will conduct 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
  • Develop and implement interventions to reduce avoidable delays and denial of payment
  • Collaborate with healthcare teams to ensure seamless care transitions
  • Provide education and training to staff on utilization review best practices

Requirements

  • Bachelor of Science in Nursing degree from a CCNE-accredited institution
  • Current Maryland Registered Nurse License
  • American Heart Association CPR Certification
  • Strong critical thinking and analytical skills

About LifeBridge Health

As one of the largest healthcare providers in Maryland, LifeBridge Health is committed to delivering high-quality care to our patients. We strive to create a work environment that is supportive, inclusive, and collaborative. If you are a motivated and compassionate RN with a passion for utilization review, we encourage you to apply for this exciting opportunity.