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UTILIZATION REVIEW/ CASE MANAGER RN - WEEKENDS

WEEKENDS in Baltimore, MD - LifeBridge Health
Baltimore, MD Full Time
POSTED ON 1/23/2025 CLOSED ON 1/30/2025

What are the responsibilities and job description for the UTILIZATION REVIEW/ CASE MANAGER RN - WEEKENDS position at WEEKENDS in Baltimore, MD - LifeBridge Health?

Summary

SHIFT DETAIL: Every other weekend, 7a-7:30p; 24 hours bi-weekly

**Position is on-site and requires ability to commute to Grace Medical Center for scheduled shifts.** 

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.

Requirements:

  • 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. BSN's from CCNE accredited schools
  • Maryland Registered Nurse License
  • American Heart Association BLS Certification

**Candidates must have Utilization Review and Discharge Planning experience. 

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.
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