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Job Details

RN Manager, Utilization Management

Requisition #: 1756
Location: Johns Hopkins Intrastaff, Glen Burnie, MD 21060
Category: Nursing
Work Week: Temporary Full Time
Weekend Work Required: No
Date Posted: July 15, 2019

Johns Hopkins Intrastaff is the internal staffing agency for the Johns Hopkins Health System and partner hospitals, providing temporary support to a variety of the Johns Hopkins locations. Our employees are the strength of our service.  Intrastaff is unique because it's one of the very few agencies where a person has the benefit of being a temporary employee and also feels like a member of a large organization. Working at Hopkins means joining a culturally diverse team that includes some of the best nurses, physicians and allied health professionals in the world. Directly or indirectly, you'll have exposure to cutting-edge technology and groundbreaking medical research.

***We are looking for Nurse Manager for the Utilization Management department at Johns Hopkins Health Care.This would be a full time, permanent position***

Requirements:

Responsible for the utilization of services to designated populations. Responsible for the day to day direction of Utilization Nurses. Responsible for maintaining adequate staffing, and ensures processes are followed according to UM policy and procedures. Focused on on-site and concurrent review clinical management and care coordination. Prepares monthly and quarterly reports to measure days variances, conduct root cause analysis and monitors, measures and trends re-admission levels.

A. Budget Responsibility:

Effectively uses resources within control. Monitor department/cost center budget. Works with Utilization Management Director on budgetary matters.

B. Authority/Decision Making Level:

Makes decision about staffing and office requests. Makes decisions regarding work processes based on established guidelines. Prioritizes the workload of the Intake Services and Outpatient Medical Review staff. Develops reports and documentation materials. Works independently with limited supervision.

C. Supervisory Responsibility:

Manages Intake Services and Outpatient Medical Review staff and has the responsibility for hiring, firing, performance management and results of the area. Responsible for overall departmental training and documentation for all staff. Provides guidance and direction to other departmental management and staff. Responsible for adequate coverage for Intake Services and Outpatient Medical Review area.

Seeks opportunities to develop the staff, and encourages participation in performance improvement activities

Manages work flow from Intake Services though Outpatient Medical Review maximizing quality and efficiency.

Qualifications:

BSN required. Master's degree in Nursing or related health care field preferred.

RN Maryland license

Certification in Case Managerment or Utlization Management preferred

Minimum of 8 years of nursing experience which includes a minimum of three years in a manager care environment (Case management or utilization management)

Minimum of 2 years management experience, preferably in the managed care environment

Johns Hopkins Health System and its affiliates are an Equal Opportunity / Affirmative Action employers. 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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