Johns Hopkins HealthCare
RN Utilization Management Specialist
Johns Hopkins HealthCare, Baltimore, Maryland, United States, 21276
One organization.
Countless opportunities.
Johns Hopkins Bayview is a vibrant academic medical center, offering services that range from primary care and emergency medicine, to specialized centers for burn treatment, bariatric surgery, pelvic health, allergy and asthma, and Alzheimer's Disease. Our staff provides compassionate healthcare focused on the uniqueness and dignity of each person we serve.
Click or copy and paste this link to our video to learn about our amazing legacy!
https://www.youtube.com/watch?v=of06sf9kiHk
About the position:
The Utilization Management Team Manager performs UM activities which include admission review, concurrent review, retrospective chart review and clinical systems review to measure clinical performance and UM issues that affect reimbursement for the patient's hospital stay or visit. Responsibilities include medical record review, providing clinical information to the payer, UM data collection and reporting, clinical team interaction, Physician Advisor interaction and special projects which are coordinated and directed by the UM Team Manager. May design and initiate special projects as supervised by the Team Manager.
What We Offer:
In addition to working with some of the best and brightest in the medical field, we offer our employees generous benefits, incentives and numerous career options. You can enjoy an environment that is continually recognized as
one of the best workplaces in the world.
Click on the link below to explore our amazing benefits!
https://jhhs.mybenefitsjhhs.com/
What you will bring:
BSN from an accredited nursing program and/or progressive Utilization Management or Case Management experience requiredMinimum of three to five years RN experience, with preference for Utilization Management, Care Management, or AppealsCurrent and unrestricted Maryland or compact RN license
Salary Range: Minimum 39.94 per hour - Maximum 61.91 per hour. Compensation will be commensurate with equity and experience for roles of similar scope and responsibility.
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.
Countless opportunities.
Johns Hopkins Bayview is a vibrant academic medical center, offering services that range from primary care and emergency medicine, to specialized centers for burn treatment, bariatric surgery, pelvic health, allergy and asthma, and Alzheimer's Disease. Our staff provides compassionate healthcare focused on the uniqueness and dignity of each person we serve.
Click or copy and paste this link to our video to learn about our amazing legacy!
https://www.youtube.com/watch?v=of06sf9kiHk
About the position:
The Utilization Management Team Manager performs UM activities which include admission review, concurrent review, retrospective chart review and clinical systems review to measure clinical performance and UM issues that affect reimbursement for the patient's hospital stay or visit. Responsibilities include medical record review, providing clinical information to the payer, UM data collection and reporting, clinical team interaction, Physician Advisor interaction and special projects which are coordinated and directed by the UM Team Manager. May design and initiate special projects as supervised by the Team Manager.
What We Offer:
In addition to working with some of the best and brightest in the medical field, we offer our employees generous benefits, incentives and numerous career options. You can enjoy an environment that is continually recognized as
one of the best workplaces in the world.
Click on the link below to explore our amazing benefits!
https://jhhs.mybenefitsjhhs.com/
What you will bring:
BSN from an accredited nursing program and/or progressive Utilization Management or Case Management experience requiredMinimum of three to five years RN experience, with preference for Utilization Management, Care Management, or AppealsCurrent and unrestricted Maryland or compact RN license
Salary Range: Minimum 39.94 per hour - Maximum 61.91 per hour. Compensation will be commensurate with equity and experience for roles of similar scope and responsibility.
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.