Utilization Review Case Mgr- PRN
Make it happen at Hopkins 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. What you will do: The Utilization Review (UR) Nurse 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. Why nurses love Howard County Medical Center:
- Warm and collegial environment
- Nursing student loan repayment program
- Fantastic benefits: hcgh.mybenefitsjhhs.com
- Free parking and more
What you will need:
- 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 highly preferred.
- Experience in two or more clinical areas are preferred.
Salary Range: Minimum 53.47/hour - Maximum 53.47/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. The Hospital reserves the right to modify employee schedules as needed. 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. Apply tot his job Apply To this Job