Utilization Management Specialist Float
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Job Location:
Baltimore, MD - USA
Monthly Salary:
Not Disclosed
Posted on:
24 days ago
Vacancies:
1 Vacancy
Job Summary
Make it happen at Hopkins!
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The UM Specialist performs Utilization Management activities which includes admission review concurrent review retrospective chart review and clinical systems review to measure clinical performance and Utilization Management issues that affect reimbursement for the patients hospital stay or visit. Conducts medical record review; provides clinical information to the payer; collects and reports Utilization Management data; interacts with clinical team Physician Advisor; and engages in special projects.
What awaits you:
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 asone of the best workplaces in the world.
Click on the link below to explore our amazing benefits!
you will bring:
- Completion of an accredited Nursing Program (RN) or LCSW required BSN preferred.
- Minimum of five years of nursing experience or five years of licensed social work experience with preference for Utilization Management Care Management Appeals and/or clinical experience with preference for MCG knowledge and experience.
- Current and unrestricted Maryland or compact RN license or Social Work License for Psychiatry required.
Required Experience:
IC
Key Skills
- General Insurance
- Corporate Sales
- Cost Estimation
- Benefits & Compensation
- Heavy Equipment
- AC Maintenance
About Company
Johns Hopkins Medicine is a leading health system and academic institution in the U.S. Find information about doctors, locations, appointments, billing, research, education and more.
