Utilization Review Nurse Job at Suburban Hospital
This is a remote, day, weekend position! Onsite training and orientation for the first 4-8 weeks.
GENERAL SUMMARY: The Utilization Review Care Coordination - Registered Nurse (RN) evaluates timeliness and appropriateness of patient care within the hospital setting for Observation or Inpatient Admission.The UR CM RN will evaluate the need for hospitalization through out the stay communicating with the Case Manager, physicians, and Insurance Companies. Timely reviews with the Insurance Company will be completed and followed up. Denials will be reported to PA and any other Clinical Reimbursement CM as directed.
EDUCATION AND EXPERIENCE REQUIRED:
- Licensed to practice as a Registered Nurse in the State of Maryland. Graduate of an accredited Nursing program.
- Bachelor’s Degree or an equivalent combination of education and experience.
- Minimum of 2 years clinical experience in acute care setting along with one or more years’ experience Care Coordination performing discharge planning from the inpatient or skilled facility setting and one or more years’ experience conducting inpatient utilization management and case coordination applying industry standard criteria (e.g., InterQual and Milliman).
Suburban Hospital is a 228-bed, not-for-profit, community-based hospital in Bethesda, Maryland. Suburban Hospital is a member of Johns Hopkins Medicine and has served Montgomery County and the surrounding area for more than 65 years. The designated trauma center for Montgomery County, Suburban Hospital is fully accredited by the Joint Commission and has earned ANCC Magnet Recognition for nursing excellence.
Our comprehensive benefits package is designed to help you balance work with life so you can focus on what matters most-your well-being and that of your loved ones. Some of our benefits include:
- Dependent Child Tuition Assistance
- Educational Assistance Program
- Two retirement plans: Retirement Income Plan and 403(b) Savings Plan
- Affordable Healthcare options
- 7 paid holidays each year
- Paid Days Leave (PDL)
- Flexible Spending Accounts
- …and more
https://jhhsbenefits.com/
Important Notice: Authorization to Work in the United States: Applicants who require sponsorship now or in the future will not be considered for this position.
Johns Hopkins Health System and its affiliates are drug-free workplace employers.
Important Notices:
***Effective January 1st 2022, you must be fully vaccinated with an FDA COVID-19 vaccination and provide proof of your vaccination status as part of your new employee pre-boarding. Exceptions to the COVID-19 vaccination requirement may be granted for medical reasons and religious beliefs. Requests for medical exceptions must be submitted at your occupational health screening. In the wake of the COVID-19 pandemic, the Johns Hopkins Health System remains committed to providing the highest quality care for our patients and our communities.
Johns Hopkins Health System and its affiliates are Equal Opportunity/Affirmative Action employers. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, age, national origin, disability, protected veteran status, and or any other status protected by federal, state, or local law.
Please Note :
blog.nvalabs.org is the go-to platform for job seekers looking for the best job postings from around the web. With a focus on quality, the platform guarantees that all job postings are from reliable sources and are up-to-date. It also offers a variety of tools to help users find the perfect job for them, such as searching by location and filtering by industry. Furthermore, blog.nvalabs.org provides helpful resources like resume tips and career advice to give job seekers an edge in their search. With its commitment to quality and user-friendliness, Site.com is the ideal place to find your next job.