4 Jobs in Randallstown, MD
LifeBridge Health is Hiring an UTILIZATION REVIEW NURSE (RN) Near Randallstown, MD
Summary
Position Summary: Conducts concurrent and retrospective chart review for clinical, financial and resource utilization information. Provides intervention and coordination to decrease avoidable delays and denial of payment.
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
Additional Information
As one of the largest health care providers in Maryland, with 13,000 team members, We strive to CARE BRAVELY for over 1 million patients annually. LifeBridge Health includes Sinai Hospital of Baltimore, Northwest Hospital, Carroll Hospital, Levindale Hebrew Geriatric Center and Hospital and Grace Medical Center, as well as our Community Physician Enterprise, Center for Hope, Practice Dynamics, and business partners: LifeBridge Health & Fitness, ExpressCare and HomeCare of Maryland.Job Summary
Full Time
Ambulatory Healthcare Services
$96k-121k (estimate)
03/15/2024
06/04/2024
BALTIMORE, MD
3,000 - 7,500
2018
SHIVANI NARASIMHAN
$1B - $3B
Ambulatory Healthcare Services
Related Companies
The job skills required for UTILIZATION REVIEW NURSE (RN) include Coordination, Critical Thinking, etc. Having related job skills and expertise will give you an advantage when applying to be an UTILIZATION REVIEW NURSE (RN). That makes you unique and can impact how much salary you can get paid. Below are job openings related to skills required by UTILIZATION REVIEW NURSE (RN). Select any job title you are interested in and start to search job requirements.
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.
