PRN Utilization Review Nurse

4 weeks ago

Columbia, United States Johns Hopkins Medicine Full time


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Job Details

Requisition #: 643356
Location: Johns Hopkins Howard County Medical Center,
Columbia,
MD 21044

Category: Nursing
Schedule: Day Shift

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.

About this position:

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.

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:

  1. Graduate of an accredited school of nursing.
  2. BSN is required.
  3. 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.
  4. Experience in two or more clinical areas are preferred.

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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