What are the responsibilities and job description for the Utilization Review Case Manager Nurse position at Johns Hopkins Howard County Medical Center?
Requisition #:651005 Location:Johns Hopkins Howard County Medical Center, Columbia, MD 21044 Category:Nursing Schedule:Day Shift Employment Type:Full Time
You deserve more...
As a member of Johns Hopkins Medicine, Johns Hopkins Howard County Medical Center is a 266-bed acute care facility that has been serving the community for nearly 40 years. We can offer the most advanced, innovative technology with the collaboration and teamwork typically found in a community hospital.
See This Short Video To Learn More About Us
https://www.youtube.com/watch?v=OVkRyI6or7o
What You Will Do
The Utilization Review (UR) Nurse is responsible to the Manager, Utilization Management. This individual performs UR and Payor management activities, which include prospective and/or retrospective chart and clinical systems review to measure UR issues that affect reimbursement for the patient’s hospital stay or visit. Responsibilities include medical record review, communication with third party payors, third party payor initial denials, and special projects which are coordinated and directed by the UR Payor Management Team Leader. May design and initiate special projects as supervised by Manager, Utilization Management.
What Awaits You!
- Team Nursing that focuses on an interdisciplinary approach to care with the nurse at the forefront
- Warm and collegial environment
- Free parking and more!
Our comprehensive benefits package is designed to help you balance work with life so you can focus on what matters most: your well-being and that of your loved ones. Some of our benefits and rewards include:
- Dependent Child Tuition Assistance
- Educational Assistance Program
- Two retirement plans: Retirement Income Plan and 403(b) Savings Plan
- Affordable Healthcare options
- 7 paid holidays each year
- Paid Days Leave (PDL)
- Earn $1,000 annually for practicing self-care with Healthy @ Hopkins
- …and more
Who Should Apply
- Graduate of an accredited school of nursing.
- BSN is required.
- Minimum of three (3) years of relevant clinical experience required, of which demonstrated abilities in the areas of discharge planning, utilization, and quality management is preferred.
- Experience in two or more clinical areas are preferred.
In cases where the range is displayed as a $0 amount, salary discussions will occur during candidate screening calls, before any subsequent compensation discussion is held between the candidate and any hiring authority.
JHM prioritizes the health and well-being of every employee. Come be healthy at Hopkins!
Diversity and Inclusion are Johns Hopkins Medicine Core Values. We are committed to creating a welcoming and inclusive environment, where we embrace and celebrate our differences, where all employees feel valued, contribute to our mission of serving the community, and engage in equitable healthcare delivery and workforce practices.
Johns Hopkins Health System and its affiliates are drug-free workplace employers.
Johns Hopkins Health System and its affiliates are an Equal Opportunity / Affirmative Action employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity and expression, age, national origin, mental or physical disability, genetic information, veteran status, or any other status protected by federal, state, or local law.
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Salary : $1,000
