1 UTILIZATION REVIEW NURSE (RN) Job in Randallstown, MD
LifeBridge Health is Hiring an UTILIZATION REVIEW NURSE (RN) Near Randallstown, MD
Chart Review: Reviews the medical record by applying utilization review criteria, to assess clinical, financial, and resource consumption.
Denial Management: Monitors and identifies patterns or trends in utilization management.
Care Coordination: Coordinates with the Care Manager to achieve optimal and efficient patient outcomes, while decreasing length of stay and avoid delays and denied days.
Requirements:
- Basic professional knowledge; equivalent to a Bachelor's degree; working knowledge of theory and practice within a specialized field
- Minimal degree requirement: Bachelor of Science in Nursing.
- Must possess strong critical thinking skills, have an ability to perform clinical/chart review and abstract information efficiently.
- 3-5 years experience in Utilization Review, and must have experience with denials/appeals
Job Summary
Full Time
$80k-98k (estimate)
05/27/2024
06/15/2024
BALTIMORE, MD
3,000 - 7,500
2018
SHIVANI NARASIMHAN
$1B - $3B
Ambulatory Healthcare Services
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The following is the career advancement route for UTILIZATION REVIEW NURSE (RN) positions, which can be used as a reference in future career path planning. As an UTILIZATION REVIEW NURSE (RN), it can be promoted into senior positions as a Clinical Outcomes Manager that are expected to handle more key tasks, people in this role will get a higher salary paid than an ordinary UTILIZATION REVIEW NURSE (RN). You can explore the career advancement for an UTILIZATION REVIEW NURSE (RN) below and select your interested title to get hiring information.
