Utilization Review Nurse PRN
Requisition #: 188147
Location: Howard County General Hospital, Columbia, MD 21044
Category: Allied Health/Clinical Professional
Work Shift: Day Shift
Work Week: Casual (less than 20)
Weekend Work Required: Yes
Date Posted: June 10, 2019
Johns Hopkins Health System employs more than 20,000 people annually. Upon joining Johns Hopkins Health System, you become part of a diverse organization dedicated to its patients, their families, and the community we serve, as well as to our employees. Career opportunities are available in academic and community hospital settings, home care services, physician practices, international affiliate locations and in the health insurance industry. If you share in our vision, mission and values and also have exceptional customer service and technical skills, we invite you to join those who are leaders and innovators in the healthcare field.
The Utilization Review (UR) Nurse is responsible to the Manager, Utilization Management. This individual performs UR and Payer management activities which includes 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, third party payer initial denials, and special projects which are coordinated and directed by the Manager. May design and initiate special projects as supervised by Manager, Utilization Management.
8 hours per week
one weekend day per month required per the PRN policy
3 years of related experience required
Bachelors Degree required
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 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.
Johns Hopkins Medicine.